Whalio Doctors

NPI 1316946601

St. Joseph's Manor

Organisation Adult Care Home Facility Trumbull, CT

Practice location

Address
6448 Main St, Trumbull, CT 06611-2075
Phone
(203) 268-6204
Fax
(203) 268-5271

Authorised official

Name
Sr. Michelle Anne Reho
Title
Administrator
Phone
(203) 268-6204

Registered specialties (4)

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 1690 (CT)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 684 (CT)
Skilled Nursing Facility
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 684 (CT)

Registry record

NPI
1316946601
Entity type
Organization
NPI issued
19 Jul 2005
Record last updated
11 Sep 2025

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.