Colonial Rest Home Inc

NPI 1003817321 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003817321
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name RAPHAEL RAPHAEL
Position OWNER ADMINISTRATOR
Phone (989) 684-2303
Fax (989) 684-2849
Practice Location
2394 MIDLAND RD
BAY CITY MI, 48706-9402, US
Phone (989) 684-2303
Fax (989) 684-2849
Business Location
2394 MIDLAND RD
BAY CITY MI, 48706-9402, US
Phone (989) 684-2303
Fax (989) 684-2849
Toxanomy
Taxonomy Code 310400000X
License State Michigan
License Number 094010
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According to our database, Colonial Rest Home Inc NPI is 1003817321, taxonomy code is 310400000X and license number is 094010, license state is located at Michigan. Colonial Rest Home Inc physically located at 2394 Midland Rd, Bay City MI, 48706-9402. NPI Number 1033115704 has the healthcare provider type.

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1003817321 NPI number is provided on an as is basis without warranty of any kind. 1003817321 is maintained by the National Plan & Provider Enumeration System. The contents of Colonial Rest Home Inc are for informational purposes only.