# COLONIAL NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184606048
- **Authorized official:** MR. MELVIN J HARRIS (OWNER CEO)
- **Authorized official phone:** (318) 253-6536

## Contact information

- **Practice address:** 426 N WASHINGTON ST, MARKSVILLE, LA 71351-2426
- **Practice address phone:** (318) 253-4556
- **Practice address fax:** (318) 253-4550
- **Mailing address:** 426 N WASHINGTON ST, MARKSVILLE, LA 71351-2426
- **Mailing address phone:** (318) 253-4556
- **Mailing address fax:** (318) 253-4550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 51 | LA | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1513903 | — | LA |
| 01 | — | 19003014Z | BCBS | LA |