| NPI | 1568693182 |
|---|---|
| Doing Business As | FAIRWAY REHAB |
| Entity Type | Organization |
| Authorized Contact | KEITH ANDRE FOX Chief Executive Office 318-449-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |