Organization
BILLINGS FAIRCHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY D HARDIN (OWNER/PRESIDENT)
(580) 725-3533
Entity
Organization
Contact information
Practice address
202 E. MAPLE, BILLINGS, OK 74630
(580) 725-3533
(580) 725-3889
Mailing address
PO BOX 367, 202 E. MAPLE, BILLINGS, OK 74630-0367
(580) 725-3533
(580) 725-3889
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH5201-5201
OK
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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