Colonial Manor, Inc

LBN: Colonial Manor, Inc
Colonial Manor, Inc is an health care organization with primary practice located at 300 Church St , Zeigler IL 62999-1043. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Colonial Manor, Inc can be contacted via phone (618) 596-6635, or through Moore, Melissa K via phone (618) 596-6635.

Contact Information

Primary practice address
300 Church St Zeigler IL 62999-1043
Phone: (618) 596-6635
Fax: (618) 984-7734
Website:
Map and Directions
Authorized official contact:
Name: Moore, Melissa K
Phone: (618) 596-6635

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 0044610 Illinois

Profile Details

NPI number 1619291820
LBN Legal business name Colonial Manor, Inc
DBA Doing business as
Authorized official Moore, Melissa K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2010
Last updated Mar 16th, 2010 - about 15 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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