NPI | 1669542205 |
---|---|
Doing Business As | COLONIAL MANOR CONV HOSPITAL |
Entity Type | Organization |
Authorized Contact | JUAN MORALES Office Manager 909-373-3766 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 950000025) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2010-01-21 |