Family Care Center Of Fairland

LBN: Awenasa Management Llc
Family Care Center Of Fairland is an health care organization with primary practice located at 12 E Conner Ave. , Fairland OK 74343-0336. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Awenasa Management Llc can be contacted via phone (918) 676-3685, or through Mahurin, Teresa via phone (918) 476-6642.

Contact Information

Primary practice address
12 E Conner Ave. Fairland OK 74343-0336
Phone: (918) 676-3685
Fax: (918) 676-3008
Website:
Map and Directions
Authorized official contact:
Name: Mahurin, Teresa
Phone: (918) 476-6642

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1528336252
LBN Legal business name Awenasa Management Llc
DBA Doing business as Family Care Center Of Fairland
Authorized official Mahurin, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528336252 NPPES
Oklahoma MEDICAID 37E258
Oklahoma Other 37-5515

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