Organization · Type 2 NPI

Fairfax Manor LLC

Nursing Facility/Intermediate Care Facility · Sallisaw, OK

NPI number 1497841324 Active

Practice location

210 East Choctaw Street
Sallisaw, OK 74955-0429

Call (918) 775-4439 Map

Fax (918) 775-9242

Mailing address

PO Box 429
Sallisaw, OK 74955-0429

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH5702-5702 (OK)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1497841324

Fairfax Manor LLC's National Provider Identifier is 1497841324, issued on Oct 5, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Sallisaw, OK. The record was last updated on Aug 24, 2007.