Organization
COLONIAL SENIOR SERVICES, INC.
Active
Other names
Berkeley Square Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R ZOELLNER (CFO)
(513) 785-4742
Entity
Organization
Contact information
Practice address
50 BERKELEY DR, HAMILTON, OH 45013
(513) 856-8600
(513) 856-8324
Mailing address
50 BERKELEY DR, HAMILTON, OH 45013
(513) 856-8600
(513) 856-8324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2993560
—
OH
Enumeration date
08/17/2005
Last updated
12/04/2009
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