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Organization
FAIR HAVENS CHRISTIAN HOME, INC.
Active
Organization
FAIR HAVENS CHRISTIAN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCGHEE (CHIEF FINANCIAL OFFICER)
(314) 587-7903
Entity
Organization
Contact information
Practice address
1790 S FAIRVIEW AVE, DECATUR, IL 62521-4010
(217) 429-2551
(217) 429-2942
Mailing address
1790 S FAIRVIEW AVE, DECATUR, IL 62521-4010
(217) 429-2551
(217) 429-2942
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0018143
IL
Other
Enumeration date
10/03/2008
Last updated
12/11/2013
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