Organization
N & R SHAWNEE LLC
Active
Other names
SHAWNEE COLONIAL ESTATES NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY H TRUMBO (CFO)
(502) 254-9525
Entity
Organization
Contact information
Practice address
535 W FEDERAL ST, SHAWNEE, OK 74804-2713
(405) 273-7661
(405) 273-7893
Mailing address
329 TOWNEPARK CIR, SUITE 100, LOUISVILLE, KY 40243-2348
(502) 254-9525
(502) 254-9919
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH6311-6311
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017280A
—
OK
Enumeration date
05/30/2005
Last updated
08/27/2025
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