Fair Oaks Residential Care LLC

NPI #1801918784 in Langley, Oklahoma

Provider Information

NPI Number: 1801918784
Entity Type: Organization
Organization Name: Fair Oaks Residential Care LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Apr 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1330 N 3RD ST
City: Langley
State: Oklahoma
ZIP Code: 74350
Phone: (918) 782-3180

Authorized Official

Name: DENISE WILSON, LPN
Title: ADMINISTRATOR
Phone: (918) 260-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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