Organization
FAIRLAWN HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY S. ALLISON (HEALTHCARE ADMINISTRATOR)
(419) 445-3075
Entity
Organization
Contact information
Practice address
407 E LUTZ RD, ARCHBOLD, OH 43502-1252
(419) 445-3074
Mailing address
407 E LUTZ RD, ARCHBOLD, OH 43502-1252
(419) 445-3074
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010302
—
OH
Enumeration date
07/05/2005
Last updated
08/16/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us