NPI 1174938773

Manor St Joseph

Organisation Nursing Facility/Intermediate Care Facility Edgeley, ND

Practice location

Address: 404 4th Ave, Edgeley, ND 58433-7417
Phone: (701) 493-2477

Authorised official

Name: Tammy Jangula
Title: Administrator
Phone: (701) 493-2477

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 8009 (ND)

Other Nursing Facility/Intermediate Care Facility providers in North Dakota →

Registry record

NPI: 1174938773
Entity type: Organization
NPI issued: 23 Jun 2014
Record last updated: 23 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.