Organization
COLONIAL HEALTHCARE CENTER LLC
Active
Other names
ST. JOSEPH'S HEALTH CARE CENTER, ST. JOSEPH'S A VILLA CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA GRAF (CFO)
(224) 470-2044
Entity
Organization
Contact information
Practice address
9400 CONANT ST, HAMTRAMCK, MI 48212-3538
(313) 874-4500
Mailing address
3701 W LUNT AVE, LINCOLNWOOD, IL 60712-2615
(847) 440-2660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
82-4340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60/4614268
—
MI
Enumeration date
11/04/2005
Last updated
12/18/2025
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