Fairfax Community Home Inc

NPI 1710963251 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1710963251
Enumeration Date 12/16/2005
Last Updated 05/08/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JUDITH A JUDITH
Position ADMINISTRATOR
Phone (507) 426-8241
Fax (507) 426-7340
Practice Location
300 10TH AVE SE
FAIRFAX MN, 55332-2149, US
Phone (507) 426-8241
Fax (507) 426-7340
Business Location
300 10TH AVE SE
FAIRFAX MN, 55332-2149, US
Phone (507) 426-8241
Fax (507) 426-7340
Toxanomy
Taxonomy Code 314000000X
License State Minnesota
License Number 328593
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According to our database, Fairfax Community Home Inc NPI is 1710963251, taxonomy code is 314000000X and license number is 328593, license state is located at Minnesota. Fairfax Community Home Inc physically located at 300 10th Ave Se, Fairfax MN, 55332-2149. NPI Number 1033115704 has the healthcare provider type.

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1710963251 NPI number is provided on an as is basis without warranty of any kind. 1710963251 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Community Home Inc are for informational purposes only.