Fairhaven Christian Retirement Center

NPI 1710970926 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1710970926
Enumeration Date 08/24/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JEFFREY R. JEFFREY
Position ASSISTANT ADMIN./DIR OF FINANCE
Phone (815) 877-1441
Fax (815) 877-2040
Practice Location
3470 N ALPINE RD
ROCKFORD IL, 61114-4802, US
Phone (815) 877-1441
Fax (815) 877-2040
Business Location
3470 N ALPINE RD
ROCKFORD IL, 61114-4802, US
Phone (815) 877-1441
Fax (815) 877-2040
Toxanomy
Taxonomy Code 313M00000X
License State Illinois
License Number 1676858
Remove 1710970926 NPI Number
 

According to our database, Fairhaven Christian Retirement Center NPI is 1710970926, taxonomy code is 313M00000X and license number is 1676858, license state is located at Illinois. Fairhaven Christian Retirement Center physically located at 3470 N Alpine Rd, Rockford IL, 61114-4802. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1710970926 NPI number is provided on an as is basis without warranty of any kind. 1710970926 is maintained by the National Plan & Provider Enumeration System. The contents of Fairhaven Christian Retirement Center are for informational purposes only.