Colonial Manor Operating Co., Inc.
NPI #1790780153 in Youngstown, Ohio
Provider Information
- NPI Number
- 1790780153
- Entity Type
- Organization
- Organization Name
- Colonial Manor Operating Co., Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 196 COLONIAL DR
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44505-2139
- Phone
- (330) 759-8000
Authorized Official
- Name
- MR. THOMAS D. NORDQUIST
- Title
- PRESIDENT
- Phone
- (330) 726-6047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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