NPI | 1043577299 |
---|---|
Doing Business As | COLONIAL MANOR OF ANITA |
Entity Type | Organization |
Authorized Contact | KRISTENE LANGE Owner/Member 712-762-3219 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |