Fairfax Manor Llc

LBN: Fairfax Manor Llc
Fairfax Manor Llc is an health care organization with primary practice located at 210 East Choctaw Street , Sallisaw OK 74955-0429. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Fairfax Manor Llc can be contacted via phone (918) 775-4439, or through Mcgrew, Justin via phone (918) 775-4439.

Contact Information

Primary practice address
210 East Choctaw Street Sallisaw OK 74955-0429
Phone: (918) 775-4439
Fax: (918) 775-9242
Website:
Map and Directions
Authorized official contact:
Name: Mcgrew, Justin
Phone: (918) 775-4439

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH5702-5702 Oklahoma

Profile Details

NPI number 1497841324
LBN Legal business name Fairfax Manor Llc
DBA Doing business as
Authorized official Mcgrew, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 24th, 2007 - about 17 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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