St. Joseph Manor

NPI #1932112554 in Bryan, Texas

Provider Information

NPI Number
1932112554
Entity Type
Organization
Organization Name
St. Joseph Manor
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Aug 14, 2006
Last Updated
Apr 9, 2008

Practice Location

Address
2333 MANOR DRIVE
City
Bryan
State
Texas
ZIP Code
77802-1907
Phone
(979) 821-7330

Authorized Official

Name
MR. HAROLD COTTRELL
Title
EXECUTIVE DIRECTOR/ADMINISTRATOR
Phone
(979) 821-7330

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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