Organization
FIDELIS ONE LLC
Active
Other names
Fidelis Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTHARAM DARBE (OWNER/MANAGER)
(405) 840-9991
Entity
Organization
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127
(405) 945-0010
(405) 947-6542
Mailing address
4601 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118
(405) 840-9991
(405) 840-9998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5516
OK
Other
Enumeration date
08/21/2012
Last updated
08/24/2012
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