NPI 1407240237

Fairchild Home and Community Based Services, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Billings, OK

Practice location

Address: 205 E Maple, Billings, OK 74630
Phone: (580) 725-3400
Fax: (580) 725-3402
Mailing address: PO Box 366 205 E Maple, Billings, OK 74630

Authorised official

Name: Consuela F Logan
Title: Administrator
Phone: (580) 725-3400

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH5204-5204 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1407240237
Entity type: Organization
NPI issued: 18 Mar 2015
Record last updated: 18 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.