NPI | 1568469740 |
---|---|
Other Name | FAIRVIEW FELLOWSHIP HOME AND VILLAGE |
Entity Type | Organization |
Authorized Contact | MICHAEL G MILLER Executive Director 580-227-3783 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OK NH4701) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OK NH4701) |
Enumeration Date | 2005-07-04 |
Last Update Date | 2020-08-22 |