Colonial Manor Management Company, L.L.C.

LBN: Colonial Manor Management Company, L.L.C.
Colonial Manor Management Company, L.L.C. is an health care organization with primary practice located at 1815 E Skelly Dr , Tulsa OK 74105-5919. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Colonial Manor Management Company, L.L.C. can be contacted via phone (918) 743-7838, or through Rucker, Ed via phone (918) 743-7838.

Contact Information

Primary practice address
1815 E Skelly Dr Tulsa OK 74105-5919
Phone: (918) 743-7838
Fax: (918) 748-5970
Website:
Map and Directions
Authorized official contact:
Name: Rucker, Ed
Phone: (918) 743-7838

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH7208-7208 Oklahoma

Profile Details

NPI number 1225170467
LBN Legal business name Colonial Manor Management Company, L.L.C.
DBA Doing business as
Authorized official Rucker, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated May 18th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225170467 NPPES
Oklahoma MEDICAID 200119130A

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