Organization
FAIRLAWN HAVEN
Active
Parent organization
FAIRLAWN HAVEN
Other names
Fairlawn Haven Assisted Living, West Haven Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRLAWN HAVEN
Authorized official
TAMMY ALLISON LNHA (EXECUTIVE DIRECTOR)
(567) 444-5083
Entity
Organization
Contact information
Practice address
500 HAVEN DR, ARCHBOLD, OH 43502-1297
(419) 445-3075
(567) 444-5118
Mailing address
407 E LUTZ RD, ARCHBOLD, OH 43502-1252
(419) 445-3075
(567) 444-5118
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708R
OHIO DEPARTMENT OF HEALTH FACILITY LICENSE
OH
Enumeration date
08/17/2023
Last updated
04/02/2026
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