| NPI | 1649042466 |
|---|---|
| Doing Business As | FAIRFAX BEHAVIORAL HEALTH AND MEMORY CARE COMMUNITY, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHMOND Administrator 580-732-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |