Organization
COLONIAL MANORS OF COLUMBUS COMMUNITY INC
Active
Other names
Colonial Manors of Columbus Community
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A SENTS (PRESIDENT)
(319) 728-2276
Entity
Organization
Contact information
Practice address
814 SPRINGER AVE, COLUMBUS JUNCTION, IA 52738-1305
(319) 728-2276
(319) 728-8998
Mailing address
814 SPRINGER AVE, COLUMBUS JUNCTION, IA 52738-1305
(319) 728-2276
(319) 728-8998
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
580135
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809061
—
IA
01
—
65476
BCBS PROVIDER #
IA
Enumeration date
11/21/2006
Last updated
08/31/2021
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