NPI | 1184664898 |
---|---|
Doing Business As | COLONIAL PARK CARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM A. MATHIES President Director 505-821-3355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH54055405) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2009-09-28 |