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Organization
GLOBAL FAIRLAND LLC
Active
Organization
GLOBAL FAIRLAND LLC
Active
Other names
Family Care Center of Fairland
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE BALLER (MANAGER OF SELECTIS MANAGEMENT, LLC)
(303) 449-2100
Entity
Organization
Contact information
Practice address
12 E CONNER AVE, FAIRLAND, OK 74343-0000
(918) 676-3685
(918) 676-3008
Mailing address
12 E CONNER AVE, FAIRLAND, OK 74343-0000
(918) 676-3685
(918) 676-3008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
02/04/2021
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