| NPI | 1467750976 |
|---|---|
| Doing Business As | COLONIAL PARK NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN SMART President 405-380-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5405-5405) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH5405-5405) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |