Organization
FAIRVIEW HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L PLATTNER (ADMINISTRATOR)
(815) 692-2572
Entity
Organization
Contact information
Practice address
605 N 4TH ST, FAIRBURY, IL 61739-1210
(815) 692-2572
(815) 692-4257
Mailing address
605 N 4TH ST, PO BOX 20, FAIRBURY, IL 61739-1210
(815) 692-2572
(815) 692-4257
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0008524
IL
Other
Enumeration date
03/24/2006
Last updated
08/22/2020
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