Fairfield I Enterprises, Llc

NPI 1124061304 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1124061304
Enumeration Date 06/14/2006
Last Updated 02/06/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GARY GARY
Position MANAGING MEMBER
Phone (903) 389-1236
Fax (903) 389-1241
Practice Location
420 MOODY ST
FAIRFIELD TX, 75840-3036, US
Phone (903) 389-1236
Fax (903) 389-1241
Business Location
420 MOODY ST
FAIRFIELD TX, 75840-3036, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 102704
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According to our database, Fairfield I Enterprises, Llc NPI is 1124061304, taxonomy code is 314000000X and license number is 102704, license state is located at Texas. Fairfield I Enterprises, Llc physically located at 420 Moody St, Fairfield TX, 75840-3036. NPI Number 1033115704 has the healthcare provider type.

1124061304 NPI number is provided on an as is basis without warranty of any kind. 1124061304 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfield I Enterprises, Llc are for informational purposes only.