Organization
OUR LADY'S HAVEN OF FAIRHAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE ROQUE (CEO)
(508) 679-8154
Entity
Organization
Contact information
Practice address
71 CENTER ST, FAIRHAVEN, MA 02719-3822
(508) 999-4561
(508) 997-0254
Mailing address
71 CENTER ST, FAIRHAVEN, MA 02719-3822
(508) 999-4561
(508) 997-0254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904929
—
MA
Enumeration date
09/19/2005
Last updated
01/11/2022
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