# LITTLE SERVANT SISTERS - ST. JOSEPH'S HOME ASSISTED LIVING AND NURSING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Joseph's Senior Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952389272
- **Authorized official:** TERESA GRADOWSKA RN (MDS COORDINATOR)
- **Authorized official phone:** (732) 750-0077

## Contact information

- **Practice address:** 1-3 SAINT JOSEPH TER, WOODBRIDGE, NJ 07095-2611
- **Practice address phone:** (732) 750-0077
- **Practice address fax:** (732) 634-1811
- **Mailing address:** 1-3 SAINT JOSEPH TERR, WOODBRIDGE, NJ 07095-2611
- **Mailing address phone:** (732) 750-0077
- **Mailing address fax:** (732) 634-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061223 | NJ | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 01/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5353301 | — | NJ |
| 05 | — | 5353319 | — | NJ |
