Organization
COLONIAL OAKS BLACKHAWK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R HAGAN (ASSET MANAGER)
(713) 780-8100
Entity
Organization
Contact information
Practice address
22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
(913) 686-3170
Mailing address
2315 ROUTH ST, DALLAS, TX 75201-2025
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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