# COLONIAL MANOR OF ELMA

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

## Provider details

- **NPI number:** 1609027549
- **Authorized official:** MR. TIMOTHY ROBERTS (CFO)
- **Authorized official phone:** (641) 456-5636

## Contact information

- **Practice address:** 407 9TH ST, ELMA, IA 50628-8217
- **Practice address phone:** (641) 393-2125
- **Mailing address:** 1320 4TH ST NE, HAMPTON, IA 50441-1104
- **Mailing address phone:** (641) 456-5636
- **Mailing address fax:** (641) 456-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | IA | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 10/18/2010