Organization
FAIRFAX HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY MULOWENI (VICE PRESIDENT)
(972) 517-7921
Entity
Organization
Contact information
Practice address
7900 STABLE GLEN DR, PLANO, TX 75025-2579
(972) 517-7921
Mailing address
7900 STABLE GLEN DR, PLANO, TX 75025-2579
(972) 517-7921
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
07/19/2009
Last updated
07/21/2009
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