# FAMILY CARE CENTERS OF OKLAHOMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Care Center of Fairland, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497872717
- **Authorized official:** MRS. SHARIE FOLMAR LNFA (PRESIDENT)
- **Authorized official phone:** (361) 852-9521

## Contact information

- **Practice address:** 12 E CONNER, FAIRLAND, OK 74343
- **Practice address phone:** (918) 676-3685
- **Practice address fax:** (918) 676-3008
- **Mailing address:** PO BOX 72250, CORPUS CHRISTI, TX 78472-2250
- **Mailing address phone:** (361) 852-9521
- **Mailing address fax:** (361) 855-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH5803-5803 | OK | Yes |
| 314000000X | Skilled Nursing Facility | NH5803-5803 | OK | — |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37-5515 | MEDICARE CCN | — |
| 05 | — | 37E258 | — | OK |