# FAIRVIEW HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Home Health of Western Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174519102
- **Authorized official:** LOLA JANE EDWARDS RN (ADMINISTRATOR)
- **Authorized official phone:** (802) 371-8195

## Contact information

- **Practice address:** 1025 W CHERRY AVE, ENID, OK 73703-3318
- **Practice address phone:** (580) 237-1819
- **Practice address fax:** (580) 237-1822
- **Mailing address:** 1025 W CHERRY AVE, ENID, OK 73703-3318
- **Mailing address phone:** (580) 237-1819
- **Mailing address fax:** (580) 237-1822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7153 | OK | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 06/23/2023