Organization
FAIRVIEW HOME HEALTH LLC
Active
Other names
Complete Home Health of Western Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA JANE EDWARDS RN (ADMINISTRATOR)
(802) 371-8195
Entity
Organization
Contact information
Practice address
1025 W CHERRY AVE, ENID, OK 73703-3318
(580) 237-1819
(580) 237-1822
Mailing address
1025 W CHERRY AVE, ENID, OK 73703-3318
(580) 237-1819
(580) 237-1822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC7153
STATE LICENSE
OK
Enumeration date
09/26/2005
Last updated
06/23/2023
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