Fair Oaks Residential Care Llc

NPI 1801918784 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1801918784
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DENISE DENISE
Position ADMINISTRATOR
Phone (918) 782-3180
Fax (918) 782-9715
Practice Location
1330 N 3RD ST
LANGLEY OK, 74350, US
Phone (918) 782-3180
Fax (918) 782-9715
Business Location
PO BOX 475
LANGLEY OK, 74350-0475, US
Phone (918) 782-3180
Fax (918) 782-9175
Toxanomy
Taxonomy Code 3104A0625X
License State Oklahoma
License Number RC4902-4902
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According to our database, Fair Oaks Residential Care Llc NPI is 1801918784, taxonomy code is 3104A0625X and license number is RC4902-4902, license state is located at Oklahoma. Fair Oaks Residential Care Llc physically located at 1330 N 3rd St, Langley OK, 74350. NPI Number 1033115704 has the healthcare provider type.

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1801918784 NPI number is provided on an as is basis without warranty of any kind. 1801918784 is maintained by the National Plan & Provider Enumeration System. The contents of Fair Oaks Residential Care Llc are for informational purposes only.