Organization
COLONIAL MANOR HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SUE SNOWBARGER NHA (OWNER/ADMINISTRATOR)
(419) 994-4191
Entity
Organization
Contact information
Practice address
747 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842-1416
(419) 994-4191
Mailing address
747 S MOUNT VERNON AVE, LOUDONVILLE, OH 44842-1416
(419) 994-4191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297807
—
OH
Enumeration date
09/19/2005
Last updated
05/10/2012
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