| NPI | 1154318020 |
|---|---|
| Doing Business As | COLONIAL MANOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY GOODIN Administrator 830-625-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112254) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |