| NPI | 1104174267 |
|---|---|
| Other Name | FIDELIS ASSISTED LIVING AND MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | SHANTHARAM DARBE Owner/Manager 405-840-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK AL5516) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-24 |