Organization
ST. JUDE'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BEAUCHAMP (ADMINISTRATOR)
(906) 241-4602
Entity
Organization
Contact information
Practice address
509 S 22ND ST, ESCANABA, MI 49829-2247
(906) 786-3386
Mailing address
509 S 22ND ST, ESCANABA, MI 49829-2247
(906) 786-3386
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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