# FAIRVIEW FELLOWSHIP HOME FOR SENIOR CITIZENS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairview Fellowship Home and Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568469740
- **Authorized official:** MR. MICHAEL G MILLER NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (580) 227-3783

## Contact information

- **Practice address:** 605 E STATE RD, FAIRVIEW, OK 73737-1455
- **Practice address phone:** (580) 227-3783
- **Practice address fax:** (580) 227-3328
- **Mailing address:** 605 E STATE RD, FAIRVIEW, OK 73737-1455
- **Mailing address phone:** (580) 227-3783
- **Mailing address fax:** (580) 227-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH4701 | OK | Yes |
| 314000000X | Skilled Nursing Facility | NH4701 | OK | — |

## Other

- **Enumeration date:** 07/04/2005
- **Last updated:** 09/11/2025