PMG OPCO-COLONIAL LLC

BOSSIER CITY, LA
NPI1124589544
Entity TypeOrganization
Authorized ContactSTEVEN BOULWARE
Managing Member
972-428-0900
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
PMG OPCO-COLONIAL LLC
4921 MEDICAL DR
BOSSIER CITY, LA 71112-4522
Phone number: 318-742-5420
Mailing Address
PMG OPCO-COLONIAL LLC
4921 MEDICAL DR
BOSSIER CITY, LA 71112-4522
Phone number: 318-742-5420
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