Healthcare Provider Details

I. General information

NPI: 1952954026
Provider Name (Legal Business Name): FAIRVIEW HH OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E REUNION ST
FAIRFIELD TX
75840-1634
US

IV. Provider business mailing address

601 E REUNION ST
FAIRFIELD TX
75840-1634
US

V. Phone/Fax

Practice location:
  • Phone: 903-389-4121
  • Fax:
Mailing address:
  • Phone: 903-389-4121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL LITTLE
Title or Position: MANAGER
Credential:
Phone: 512-520-7320