Colonial Manor Nursing Center-Cleburne, L.p.

NPI #1255320032 in Cleburne, Texas

Provider Information

NPI Number
1255320032
Entity Type
Organization
Organization Name
Colonial Manor Nursing Center-Cleburne, L.p.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 14, 2005
Last Updated
Oct 26, 2007

Practice Location

Address
2035 N. GRANBURY STREET
State
Texas
ZIP Code
76033-7460
Phone
(817) 645-9134

Authorized Official

Name
MR. PETER J LICARI
Title
VICE PRESIDENT
Phone
(215) 441-7700

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Nursing Facility SuppliesNursing Facility Supplies
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Skilled Nursing Facility

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