# FAIRFAX BEHAVIORAL HEALTH AND MEMORY CARE COMMUNITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfax Behavioral Health and Memory Care Community, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649042466
- **Authorized official:** MS. JENNIFER RICHMOND (ADMINISTRATOR)
- **Authorized official phone:** (580) 732-0264

## Contact information

- **Practice address:** 282 COUNTY ROAD 6300, FAIRFAX, OK 74637-5097
- **Practice address phone:** (918) 642-3234
- **Mailing address:** 282 COUNTY ROAD 6300, FAIRFAX, OK 74637-5097
- **Mailing address phone:** (918) 642-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2023
- **Last updated:** 10/25/2023