Fairfax Manor LLC
NPI #1497841324 in Sallisaw, Oklahoma
Provider Information
- NPI Number
- 1497841324
- Entity Type
- Organization
- Organization Name
- Fairfax Manor LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Aug 24, 2007
Practice Location
Authorized Official
- Name
- MR. JUSTIN MCGREW
- Title
- BUSINESS MANAGEMENT
- Phone
- (918) 775-4439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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