Organization
COLONIAL SENIOR LIVING OF WESTERN PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COLVER (MANAGING MEMBER)
(301) 542-9721
Entity
Organization
Contact information
Practice address
19713 SPRING CREEK RD, HAGERSTOWN, MD 21742-2534
(301) 542-9721
Mailing address
909 WEST ST, PITTSBURGH, PA 15221-2833
(301) 542-9721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/14/2009
Last updated
06/03/2010
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