COLONIAL REST HOME INC
Assisted Living Facility
Bay City, Michigan
Provider NPI: 1003817321
Organization Information:Organization Name: COLONIAL REST HOME INC
Practice Location:
2394 MIDLAND RD BAY CITY, MI 48706 US
Tel: 989-684-2303 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2394 MIDLAND RD BAY CITY, MI 48706 US
Tel: 989-684-2303 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MI | 094010 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2080190 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin