# FAIR HAVENS CHRISTIAN HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAIR HAVENS CHRISTIAN HOME, INC.
- **Other names:** Hickory Point Christian Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710425509
- **Legal business name:** FAIR HAVENS CHRISTIAN HOME, INC.
- **Authorized official:** MRS. SUSAN MCGHEE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (314) 587-7903

## Contact information

- **Practice address:** 565 W MARION AVE, FORSYTH, IL 62535-2099
- **Practice address phone:** (217) 872-1122
- **Mailing address:** 565 W MARION AVE, FORSYTH, IL 62535-2099
- **Mailing address phone:** (217) 872-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 0050682 | IL | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 02/01/2017