Provider First Line Business Practice Location Address:
COLONIAL MANOR NURSING HOME
Provider Second Line Business Practice Location Address:
2035 GRANBURY STREET
Provider Business Practice Location Address City Name:
CLEBURNE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-654-9134
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2005