NPI 1619291820 COLONIAL MANOR, INC ZEIGLER IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Colonial Manor, Inc - NPI: 1619291820

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: COLONIAL MANOR, INC
NPI Number: 1619291820
Entity Type Code: Organizational (2)
Authorized Official Name: MELISSA K MOORE
(PRESIDENT)
Mailing Address: 300 Church St
Zeigler
State: IL US
Postal Code: 629991043
Phone Number: 6185966635
Fax Number: 6189847734
NPI Enumeration Date: 03/16/2010
NPI Last Update Date: 03/16/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320600000X
License Number: 0044610
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Taxonomy Specialization:
Taxonomy Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.


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