| NPI | 1487980082 |
|---|---|
| Doing Business As | COLONIAL NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RENE ROTH Controller 317-557-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 09-000360-1) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |