NPI 1003817321

Colonial Rest Home INC

Organisation Assisted Living Facility Bay City, MI

Practice location

Address: 2394 Midland Rd, Bay City, MI 48706-9402
Phone: (989) 684-2303
Fax: (989) 684-2849

Authorised official

Name: Raphael Dubay
Title: Owner Administrator
Phone: (989) 684-2303

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 094010 (MI)

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Registry record

NPI: 1003817321
Entity type: Organization
NPI issued: 9 Aug 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.