Colonial Manor Guest House

LBN: Colonial Manor Guest House, Llc
Colonial Manor Guest House is an health care organization with primary practice located at 114 Whatley St , Rayville LA 71269-3318. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Colonial Manor Guest House, Llc can be contacted via phone (318) 728-3252, or through Price, Teddy Ray via phone (318) 628-4116.

Contact Information

Primary practice address
114 Whatley St Rayville LA 71269-3318
Phone: (318) 728-3252
Fax: (318) 728-6552
Website:
Map and Directions
Authorized official contact:
Name: Price, Teddy Ray
Phone: (318) 628-4116

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 233 Louisiana

Profile Details

NPI number 1114908308
LBN Legal business name Colonial Manor Guest House, Llc
DBA Doing business as Colonial Manor Guest House
Authorized official Price, Teddy Ray
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114908308 NPPES
Louisiana MEDICAID 1517151

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