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General NPI Number Information
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NPI Number | 1184606048
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Entity Type | Organization
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Legal Business Name | COLONIAL NURSING HOME INC
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 426 N WASHINGTON ST
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City | MARKSVILLE
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State | LA
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Zip | 71351-2426
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Country | US
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Telephone | 318-253-4556
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Fax | 318-253-4550
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Provider Business Mailing Address
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Address Line | 426 N WASHINGTON ST
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City | MARKSVILLE
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State | LA
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Zip | 71351-2426
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Country | US
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Telephone | 318-253-4556
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Fax | 318-253-4550
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Authorized Official
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Title or Position | OWNER CEO
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Name | MR. MELVIN J HARRIS
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Credential |
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Telephone | 318-253-6536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 51
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License Number State | LA
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