NPI | 1316427958 |
---|---|
Doing Business As | COLONIAL MANOR CARE CENTER |
Entity Type | Organization |
Authorized Contact | RICHARD AGNEW Authorized Official 512-565-6159 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2018-08-14 |
Last Update Date | 2025-06-30 |