| NPI | 1063946143 |
|---|---|
| Doing Business As | COLONIAL VILLAGE |
| Entity Type | Organization |
| Authorized Contact | GILBERT R WOOD Manager Of The LLC 913-599-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-02-20 |