Organization
PMG OPCO-COLONIAL LLC
Active
Other names
COLONIAL OAKS SKILLED NURSING AND REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BOULWARE (MANAGING MEMBER)
(972) 428-0900
Entity
Organization
Contact information
Practice address
4921 MEDICAL DR, BOSSIER CITY, LA 71112-4522
(318) 742-5420
(318) 742-8887
Mailing address
4921 MEDICAL DR, BOSSIER CITY, LA 71112-4522
(318) 742-5420
(318) 742-8887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us