Organization
COLONIAL RETIREMENT CENTER INC.
Active
Organization
COLONIAL RETIREMENT CENTER INC.
Active
Other names
Colonial Residential Care Facility II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LYNN CONWAY (ADMINISTRATOR)
(573) 734-2846
Entity
Organization
Contact information
Practice address
1162 CEDAR STREET, BISMARCK, MO 63624-0727
(573) 734-2846
(573) 734-2008
Mailing address
1162 CEDAR STREET, P.O.BOX 727, BISMARCK, MO 63624-0727
(573) 734-2846
(573) 734-2008
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2667449911
—
MS
Enumeration date
03/02/2007
Last updated
08/22/2020
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