Organization
SKELLY OPERATIONS LLC
Active
Other names
COLONIAL MANOR OPCO
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JASON BUSH (CHIEF FINANCIAL OFFICER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
1815 E SKELLY DR, TULSA, OK 74105-5919
(918) 743-7838
(918) 738-5970
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
03/24/2022
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