Organization
COLONIAL MANOR NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RUCKER (ADMINISTRATOR)
(918) 743-7838
Entity
Organization
Contact information
Practice address
1815 E SKELLY DR, TULSA, OK 74105-5919
(918) 743-7838
Mailing address
1815 E SKELLY DR, TULSA, OK 74105-5919
(918) 743-7838
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7208-7208
OK
314000000X
Skilled Nursing Facility
Primary
375465
OK
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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