# COLONIAL POST ACUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vineland Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992382907
- **Authorized official:** DAVID JOHNSON (CEO)
- **Authorized official phone:** (310) 266-1080

## Contact information

- **Practice address:** 10830 OXNARD ST, NORTH HOLLYWOOD, CA 91606-5021
- **Practice address phone:** (818) 763-8247
- **Mailing address:** 3050 SATURN ST STE 201, BREA, CA 92821-6278

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 03/25/2021
