Organization
FAIR HAVENS CHRISTIAN HOME, INC.
Active
Parent organization
FAIR HAVENS CHRISTIAN HOME, INC.
Other names
Hickory Point Christian Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIR HAVENS CHRISTIAN HOME, INC.
Authorized official
MRS. SUSAN MCGHEE (CHIEF FINANCIAL OFFICER)
(314) 587-7903
Entity
Organization
Contact information
Practice address
565 W MARION AVE, FORSYTH, IL 62535-2099
(217) 872-1122
Mailing address
565 W MARION AVE, FORSYTH, IL 62535-2099
(217) 872-1122
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
0050682
IL
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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