NPI | 1376818419 |
---|---|
Doing Business As | FAIR OAKS CARE CENTRE |
Entity Type | Organization |
Authorized Contact | RICHARD T MASON Authorized Representative 888-391-2373 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 730994) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2012-03-21 |