# GLOBAL FAIRLAND LLC

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

## Provider details

- **NPI number:** 1740878859
- **Authorized official:** LANCE BALLER (MANAGER OF SELECTIS MANAGEMENT, LLC)
- **Authorized official phone:** (303) 449-2100

## Contact information

- **Practice address:** 12 E CONNER AVE, FAIRLAND, OK 74343-0000
- **Practice address phone:** (918) 676-3685
- **Practice address fax:** (918) 676-3008
- **Mailing address:** 12 E CONNER AVE, FAIRLAND, OK 74343-0000
- **Mailing address phone:** (918) 676-3685
- **Mailing address fax:** (918) 676-3008

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 02/04/2021