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Fairfax Manor Llc
Nursing Facility/Intermediate Care Facility in Sallisaw, Oklahoma
NPI 1497841324

Fairfax Manor Llc is a Nursing Facility/Intermediate Care Facility based in Sallisaw, OK. Fairfax Manor Llc practices in Sallisaw, OK. The NPI Number for Fairfax Manor Llc is 1497841324 and holds a License No. NH5702-5702 (Oklahoma).

The current practice location address for Fairfax Manor Llc is 210 East Choctaw Street, Sallisaw, OK and can be reached out via phone at 918-775-4439 and via fax at 918-775-9242.

Location: 210 East Choctaw Street, Sallisaw, OK, 74955-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497841324
Provider Name
Fairfax Manor Llc
Credential
Provider Entity Type
Organization
Address
210 East Choctaw Street, Sallisaw, OK, 74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
210 East Choctaw Street
City
Sallisaw
State
Oklahoma
Zip
74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
person
Provider Business Mailing Address Details
Address
210 East Choctaw Street
City
Sallisaw
State
Oklahoma
Zip
74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH5702-5702 (Oklahoma)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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