| NPI | 1366654147 |
|---|---|
| Doing Business As | COLONIAL MANOR I |
| Entity Type | Organization |
| Authorized Contact | CALVIN CASTLEMAN Chairman Of The Board 580-688-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH2901) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |