Organization
ST JOHNS NURSING HOME INC
Active
Other names
Brandon Woods of New Bedford
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KLOCK (PRESIDENT)
(978) 948-7383
Entity
Organization
Contact information
Practice address
397 COUNTY STREET, NEW BEDFORD, MA 02740-4998
(508) 997-9396
(508) 990-3336
Mailing address
51 SUMMER STREET, ROWLEY, MA 01969-1833
(978) 948-7383
(978) 948-3421
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0907685
—
MA
Enumeration date
02/21/2006
Last updated
08/22/2020
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