# CPLACE COLONIAL RC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Care Retirement Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558658005
- **Authorized official:** MS. LYNDA S HEBBELN (CFO)
- **Authorized official phone:** (727) 723-3021

## Contact information

- **Practice address:** 14686 OLD HAMMOND HWY, BATON ROUGE, LA 70816-1235
- **Practice address phone:** (225) 272-9339
- **Mailing address:** 14686 OLD HAMMOND HWY, BATON ROUGE, LA 70816-1235
- **Mailing address phone:** (225) 272-9339

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011