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Organization

THE COLONY INN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHLA SADAF AHMAD (PRESIDENT/CEO)
(972) 987-9271
Entity
Organization

Contact information

Practice address
5176 N COLONY BLVD, THE COLONY, TX 75056-1220
(972) 987-9271
Mailing address
1219 RESACA DR, FRISCO, TX 75033-8254
(972) 987-9271

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
311Z00000X
Custodial Care Facility
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
04/01/2013
Last updated
04/01/2013
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