# MATNEYS COLONIAL MANOR, INC.

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

## Provider details

- **NPI number:** 1245341577
- **Authorized official:** MR. EDWARD MATNEY (OWNER)
- **Authorized official phone:** (402) 494-3043

## Contact information

- **Practice address:** 3200 G ST, SOUTH SIOUX CITY, NE 68776-3339
- **Practice address phone:** (402) 494-3043
- **Practice address fax:** (402) 494-8830
- **Mailing address:** 3200 G ST, SOUTH SIOUX CITY, NE 68776-3339
- **Mailing address phone:** (402) 494-3043
- **Mailing address fax:** (402) 494-8830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 204003 | NE | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/23/2009