Organization
FAIR HAVENS INC.
Active
Other names
Fair Havens Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E BJORKLUND (PRESIDENT)
(508) 822-9838
Entity
Organization
Contact information
Practice address
334 MARION RD, MIDDLEBORO, MA 02346-3104
(508) 947-1660
(508) 946-5420
Mailing address
334 MARION RD, MIDDLEBORO, MA 02346-3104
(508) 947-1660
(508) 946-5420
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5500087
VPN
MA
Enumeration date
02/14/2007
Last updated
08/22/2020
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