| NPI | 1639166085 |
|---|---|
| Doing Business As | COLONIAL MANOR II |
| Entity Type | Organization |
| Authorized Contact | HOPE SMITH Administrator 580-688-9431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH2902-2902) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-06-17 |