Organization
SAINT JOSEPH RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE MAKOWSKI (ADMINISTRATOR)
(603) 668-6011
Entity
Organization
Contact information
Practice address
495 MAMMOTH RD, MANCHESTER, NH 03104-5463
(603) 668-6011
(603) 644-1276
Mailing address
495 MAMMOTH RD, MANCHESTER, NH 03104-5463
(603) 668-6011
(603) 644-1276
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02470
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077269
—
NH
Enumeration date
01/13/2006
Last updated
05/05/2022
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