| NPI | 1871663468 |
|---|---|
| Doing Business As | COLONIAL MANOR NURSING & REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DELBERT T WILBANKS Managing Member 318-728-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 920) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |