Colonial Living Center, LLC

NPI #1720085723 in Metairie, Louisiana

Provider Information

NPI Number
1720085723
Entity Type
Organization
Organization Name
Colonial Living Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 5, 2005
Last Updated
Feb 16, 2012

Practice Location

Address
4312 ITHACA ST
ZIP Code
70006-2913
Phone
(504) 887-6414

Authorized Official

Name
MR. DAVID HARGRAVE
Title
ADMINISTRATOR
Phone
(504) 887-6414

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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