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Organization
FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC
Active
Organization
FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC
Active
Other names
Fayette Regional Health System Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WHITE (CEO)
(765) 827-7987
Entity
Organization
Contact information
Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(765) 825-0046
(765) 827-7783
Mailing address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331
(765) 827-7717
(765) 827-7783
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050091491
IN
Other
Enumeration date
03/17/2006
Last updated
07/14/2016
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