| NPI | 1174514608 |
|---|---|
| Doing Business As | COLONIAL MANOR OF ANITA |
| Entity Type | Organization |
| Authorized Contact | CHAUNCEY R. DUNBAR Secretary / Treasurer 601-956-1576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 150366) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-24 |