Organization
FAIR HAVEN INDEPENDENT AND ASSISTED LIVING
Active
Parent organization
KEG CONSULTING AND HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEG CONSULTING AND HEALTHCARE LLC
Authorized official
KENNETH GOLDBLATT (PRESIDENT)
(818) 522-4166
Entity
Organization
Contact information
Practice address
5500 NORTHFIELD RD, MAPLE HEIGHTS, OH 44137-3114
(818) 522-4166
Mailing address
5500 NORTHFIELD RD, MAPLE HEIGHTS, OH 44137-3114
(818) 522-4166
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2743R
OH
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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