| NPI | 1659560514 |
|---|---|
| Doing Business As | COLONIAL LODGE MCKINNEY |
| Entity Type | Organization |
| Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-257-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 120040) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |