Organization
COLONIAL NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN J HARRIS (OWNER CEO)
(318) 253-6536
Entity
Organization
Contact information
Practice address
426 N WASHINGTON ST, MARKSVILLE, LA 71351-2426
(318) 253-4556
(318) 253-4550
Mailing address
426 N WASHINGTON ST, MARKSVILLE, LA 71351-2426
(318) 253-4556
(318) 253-4550
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
51
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513903
—
LA
01
—
19003014Z
BCBS
LA
Enumeration date
11/16/2005
Last updated
04/20/2008
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