| NPI | 1528336252 |
|---|---|
| Doing Business As | FAMILY CARE CENTER OF FAIRLAND |
| Entity Type | Organization |
| Authorized Contact | TERESA MAHURIN Managing Member 918-476-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-14 |