St Joseph Health System LLC

NPI #1740234111 in Fort Wayne, Indiana

Provider Information

NPI Number
1740234111
Entity Type
Organization
Organization Name
St Joseph Health System LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ST JOSEPH HEALTH SYSTEM LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 20, 2006
Last Updated
Apr 29, 2021

Practice Location

Address
700 BROADWAY
State
Indiana
ZIP Code
46802-1402
Phone
(260) 425-3000

Authorized Official

Name
PAULA M LALOR
Title
DIRECTOR/DELEGATED OFFICIAL
Phone
(629) 215-3953

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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