Organization
COLONIAL POST ACUTE LLC
Active
Other names
Vineland Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHNSON (CEO)
(310) 266-1080
Entity
Organization
Contact information
Practice address
10830 OXNARD ST, NORTH HOLLYWOOD, CA 91606-5021
(818) 763-8247
Mailing address
3050 SATURN ST STE 201, BREA, CA 92821-6278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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