| NPI | 1427049899 |
|---|---|
| Doing Business As | ST JOSEPH'S RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROSE NUGENT Pres/Admin. 860-741-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 901C) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CT 1678 RCH) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-08-06 |