| NPI | 1710938790 |
|---|---|
| Doing Business As | COLONIAL MANOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHEL T. BERG Assistant Secretary 505-468-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 142373) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2017-12-14 |