Fairport Enterprises, Inc.
NPI #1497701445 in Massillon, Ohio
Provider Information
- NPI Number
- 1497701445
- Entity Type
- Organization
- Organization Name
- Fairport Enterprises, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 25, 2006
- Last Updated
- Jun 17, 2016
Practice Location
Authorized Official
- Name
- MR. ANIS KHAN
- Title
- CFO
- Phone
- (614) 794-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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| Provider Name | |
|---|---|
| MS. Dorothea Ann Kostolich, RN |
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| Provider Name | |
|---|---|
| Legends Facility Operations, LLC Part of Consulate Health Care, LLC | |
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| Amherst Alliance, LLC |
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