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Contact Information

COLONIAL MANOR NURSING AND REHABILITATION HOME INC
307 FOSTER STREET
RAYVILLE, LA71269
 Phone: 318-728-3251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COLONIAL MANOR NURSING AND REHABILITATION HOME INC

NPI # 1518474238
LBN Legal business name COLONIAL MANOR NURSING AND REHABILITATION HOME INC
Authorized official DAVID STEPHENS - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2018
Last updated 08/08/2018 - About 8 years ago
Identifiers
LA Medicaid 1517151
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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