Organization
FAIR OAKS HEALTH SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MINNICH (ADMINISTRATOR OWNER)
(270) 343-2101
Entity
Organization
Contact information
Practice address
1 SPARKS AVE, JAMESTOWN, KY 42629-2418
(270) 343-2101
(270) 343-2080
Mailing address
PO BOX 740, JAMESTOWN, KY 42629-0740
(270) 343-2101
(270) 343-2080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503728
—
KY
Enumeration date
08/02/2005
Last updated
11/05/2008
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