# SKELLY OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLONIAL MANOR OPCO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033862206
- **Authorized official:** WILLIAM JASON BUSH (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 1815 E SKELLY DR, TULSA, OK 74105-5919
- **Practice address phone:** (918) 743-7838
- **Practice address fax:** (918) 738-5970
- **Mailing address:** PO BOX 990, EDMOND, OK 73083-0990
- **Mailing address phone:** (405) 285-8166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2022
- **Last updated:** 03/24/2022