Organization
COLONIAL MANOR OPERATING CO., INC.
Active
Other names
Campus Health care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D. NORDQUIST (PRESIDENT)
(330) 726-6047
Entity
Organization
Contact information
Practice address
196 COLONIAL DR, YOUNGSTOWN, OH 44505-2139
(330) 759-8000
(330) 759-4540
Mailing address
196 COLONIAL DR, YOUNGSTOWN, OH 44505-2139
(330) 759-8000
(330) 759-4540
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1544N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1544N
NURSING HOME LICENSE #
OH
05
—
2488080
—
OH
Enumeration date
06/14/2005
Last updated
08/22/2020
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