Colonial Manor Llc

LBN: Colonial Manor Llc
Colonial Manor Llc is an health care organization with primary practice located at 907 W Malone Ave , Sikeston MO 63801-2425. 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 Llc can be contacted via phone (573) 471-5541, or through Atchley, Linda F via phone (573) 471-5541.

Contact Information

Primary practice address
907 W Malone Ave Sikeston MO 63801-2425
Phone: (573) 471-5541
Fax: (573) 471-3063
Website:
Map and Directions
Authorized official contact:
Name: Atchley, Linda F
Phone: (573) 471-5541

Health care specialties

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

Profile Details

NPI number 1437219508
LBN Legal business name Colonial Manor Llc
DBA Doing business as
Authorized official Atchley, Linda F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jun 16th, 2008 - about 17 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 1437219508 NPPES
Missouri MEDICAID 266744804

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