Fair Oaks Residential Care LLC
Organization Active NPI Assisted Living Facility (Mental Illness) · Langley, OK
NPI 1801918784 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801918784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- License
- RC4902-4902 (OK)
- Legal business name
- FAIR OAKS RESIDENTIAL CARE LLC
- Practice address
- 1330 N 3Rd St
Langley, OK 74350 - Phone
- (918) 782-3180
- Fax
- (918) 782-9715
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Denise Wilson, LPN
- Title
- Administrator
- Phone
- (918) 260-5422
Practitioners 1
-
Denise Wilson, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | RC4902-4902 | OK | Yes |
Addresses
Primary practice location
1330 N 3Rd St
Langley, OK 74350
Mailing address
PO Box 475
Langley, OK 74350-0475
Phone (918) 782-3180
Other providers in Langley, OK
- George Michael Bird
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- Glen Burnett
- Peter O Fowler III
- Deborah Hamilton
- Jeremy C. Hopkins
- Jeremy Hopkins, DDS, PLLC
- Lakehaven Dental
All providers in Langley, OK · Assisted Living Facility (Mental Illness) in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.