Organization
FAIRFAX HEALTHCARE, LLC
Active
Other names
Kennedy Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(385) 988-3319
Entity
Organization
Contact information
Practice address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(323) 651-0043
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
08/19/2024
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