Organization
UNITED CHURCH HOMES, INC.
Active
Parent organization
UNITED CHURCH HOMES, INC.
Other names
Fairhaven - Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED CHURCH HOMES, INC.
Authorized official
RICHARD D DIBLE (VICE PRESIDENT OF FINANCIAL SERVICE)
(740) 223-2022
Entity
Organization
Contact information
Practice address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(877) 205-0018
Mailing address
850 MARSEILLES AVE, UPPER SANDUSKY, OH 43351-1648
(877) 205-0018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0682181
OH
Other
Enumeration date
06/24/2008
Last updated
03/11/2021
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