Fair Havens Christian Home, Inc.

NPI #1528219938 in Decatur, Illinois

Provider Information

NPI Number: 1528219938
Entity Type: Organization
Organization Name: Fair Havens Christian Home, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 3, 2008
Last Updated: Dec 11, 2013

Practice Location

Address: 1790 S FAIRVIEW AVE
City: Decatur
State: Illinois
ZIP Code: 62521-4010
Phone: (217) 429-2551

Authorized Official

Name: MRS. SUSAN MCGHEE
Title: CHIEF FINANCIAL OFFICER
Phone: (314) 587-7903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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