| NPI | 1740228964 |
|---|---|
| Doing Business As | ST. JOSEPH'S MANOR REHABILITATION AND NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BERG Assistant Secretary 505-468-4742 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 684-C) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 124Q00000X Dental Hygienist | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CT 0042) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CT 1690-RCH) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-01-22 |