| NPI | 1851058648 |
|---|---|
| Doing Business As | COLONIAL RESIDENTIAL CARE FACILITY II |
| Entity Type | Organization |
| Authorized Contact | BROOKE M BIGHAM Manager 417-425-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |