Organization
ST. JOSEPH RESIDENCE, INC. - THE WASHINGTON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDGET BLANK NHA (EXECUTIVE DIRECTOR / CEO)
(920) 982-5354
Entity
Organization
Contact information
Practice address
500 W WASHINGTON ST, NEW LONDON, WI 54961-1971
(920) 982-5354
(920) 982-5420
Mailing address
107 E BECKERT RD, NEW LONDON, WI 54961-2509
(920) 982-5354
(920) 982-5420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0011417
WI
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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