| NPI | 1053617761 |
|---|---|
| Doing Business As | COLONIAL PARK HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BART TAYLOR REED Manager 580-436-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5405-5405) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5405-5405) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |