| NPI | 1518474238 |
|---|---|
| Doing Business As | COLONIAL MANOR NURSING AND REHABILITATION HOME |
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT STEPHENS Managing Member 318-355-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-08-08 |