Fairview Haven Inc

NPI 1114987161 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1114987161
Enumeration Date 03/24/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD L RICHARD
Position ADMINISTRATOR
Phone (815) 692-2572
Fax (815) 692-4257
Practice Location
605 N 4TH ST
FAIRBURY IL, 61739-1210, US
Phone (815) 692-2572
Fax (815) 692-4257
Business Location
605 N 4TH ST
PO BOX 20
FAIRBURY IL, 61739-1210, US
Phone (815) 692-2572
Fax (815) 692-4257
Toxanomy
Taxonomy Code 314000000X
License State Illinois
License Number 0008524
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According to our database, Fairview Haven Inc NPI is 1114987161, taxonomy code is 314000000X and license number is 0008524, license state is located at Illinois. Fairview Haven Inc physically located at 605 N 4th St, Fairbury IL, 61739-1210. NPI Number 1033115704 has the healthcare provider type.

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1114987161 NPI number is provided on an as is basis without warranty of any kind. 1114987161 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Haven Inc are for informational purposes only.