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Organization
COLONIAL MANOR NURSING AND REHABILITATION HOME INC
Active
Organization
COLONIAL MANOR NURSING AND REHABILITATION HOME INC
Active
Other names
COLONIAL MANOR NURSING AND REHABILITATION HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCOTT STEPHENS (MANAGING MEMBER)
(318) 355-8029
Entity
Organization
Contact information
Practice address
307 FOSTER STREET, RAYVILLE, LA 71269
(318) 728-3251
Mailing address
307 FOSTER STREET, RAYVILLE, LA 71269
(318) 728-3251
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517151
—
LA
Enumeration date
01/03/2018
Last updated
08/08/2018
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