Organization
FAMILY CARE CENTERS OF OKLAHOMA, LLC
Active
Other names
Family Care Center of Fairland, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARIE FOLMAR LNFA (PRESIDENT)
(361) 852-9521
Entity
Organization
Contact information
Practice address
12 E CONNER, FAIRLAND, OK 74343
(918) 676-3685
(918) 676-3008
Mailing address
PO BOX 72250, CORPUS CHRISTI, TX 78472-2250
(361) 852-9521
(361) 855-1454
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH5803-5803
OK
314000000X
Skilled Nursing Facility
NH5803-5803
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-5515
MEDICARE CCN
—
05
—
37E258
—
OK
Enumeration date
03/23/2007
Last updated
04/22/2008
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