Organization
MADONNA MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE ROQUE (CEO)
(508) 679-8154
Entity
Organization
Contact information
Practice address
85 N WASHINGTON ST, NORTH ATTLEBORO, MA 02760-1634
(508) 699-2740
(508) 699-0481
Mailing address
85 N WASHINGTON ST, NORTH ATTLEBORO, MA 02760-1634
(508) 699-2740
(508) 699-0481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918938
—
MA
Enumeration date
09/19/2005
Last updated
01/11/2022
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