| NPI | 1528163391 |
|---|---|
| Doing Business As | GRACE LIVING CENTER - NORTHWEST OKC |
| Doing Business As | FAIRMONT |
| Doing Business As | FAIRMONT SKILLED NURSING AND THERAPY |
| Entity Type | Organization |
| Authorized Contact | MIKE DIMOND Manager 405-943-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5511-5511) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-23 |