| Organization Name: | ST. JOSEPH'S ABBEY RESIDENT CARE FACILITY, INC. |
| NPI Number: | 1124160619 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES E. CARR (ABBOT) |
| Mailing Address: | 167 N Spencer Rd Spencer |
| State: | MA US |
| Postal Code: | 015621232 |
| Phone Number: | 5088858700 |
| Fax Number: | 5088858726 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320700000X |
| License Number: | 1DGQ |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |