FAIRHAVEN OPCO, LLC

HUNTINGTON, WV
NPI1194180489
Doing Business AsMADISON PARK HEALTHCARE
Entity TypeOrganization
Authorized ContactISAAC S DOLE
Manager
312-724-8950
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
FAIRHAVEN OPCO, LLC
700 MADISON AVE
HUNTINGTON, WV 25704-2630
Phone number: 304-552-0032
Mailing Address
FAIRHAVEN OPCO, LLC
121 S WATER AVE
GALLATIN, TN 37066-2902
Phone number: 423-290-2837