Fairchild Home and Community Based Services, LLC

NPI #1407240237 in Billings, Oklahoma

Provider Information

NPI Number
1407240237
Entity Type
Organization
Organization Name
Fairchild Home and Community Based Services, LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 18, 2015
Last Updated
Mar 18, 2015

Practice Location

Address
205 E MAPLE
ZIP Code
74630
Phone
(580) 725-3400

Authorized Official

Name
CONSUELA F LOGAN, QIDP
Title
ADMINISTRATOR
Phone
(580) 725-3400

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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