Organization
GLOBAL FAIRLAND LLC
Active
Other names
Family Care Center of Fairland
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE BALLER (MANAGER OF SELECTIS MANAGEMENT, LLC)
(303) 449-2100
Entity
Organization
Contact information
Practice address
12 E CONNER AVE, FAIRLAND, OK 74343-0000
(918) 676-3685
(918) 676-3008
Mailing address
12 E CONNER AVE, FAIRLAND, OK 74343-0000
(918) 676-3685
(918) 676-3008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
02/04/2021
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