Home » Texas » 75840 » Fairfield I Enterprises, Llc

Fairfield I Enterprises, Llc

Fairfield I Enterprises, Llc is a health care provider in Fairfield, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 420 Moody St, Fairfield, TX 75840-3036, US
Practice Location Phone903-389-1236
Practice Location Fax903-389-1241
Legal Business NameFAIRFIELD I ENTERPRISES, LLC
Other Organization NameFAIRFIELD NURSING & REHABILITATION CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1124061304
Entity TypeOrganization
Enumeration Date ? Jun 14, 2006
Last Update Date ? Feb 6, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Fairfield I Enterprises, Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 102704Texas

legacy-id-icon Legacy Provider IDs of Fairfield I Enterprises, Llc

Provider IdIssuer StateIssuer TypeIssuer
005486TexasOtherVENDOR
001014428TexasMedicaid
676123TexasMedicare Oscar/certification

official-icon Authorized Official of Fairfield I Enterprises, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Fairfield I Enterprises, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Gary Blake
Authorized Official Title/PositionMANAGING MEMBER
Authorized Official Phone Number817-348-8841