| NPI | 1558787036 |
|---|---|
| Doing Business As | COLONIAL MANOR MEDICAL AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JUDAH BIENSTOCK Managing Member 314-631-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2015-12-02 |