Fairhaven Corporation
Fairhaven Corporation is a Skilled Nursing Facility in Whitewater, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
435 W Starin RdWhitewater, WI 53190-1133
Phone: (262) 473-3445
Fax: (262) 473-5468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 1039 (WI) |
|---|
Record details
| NPI number | 1083619761 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Gackstatter — Director Of Hr/Business Services · (608) 322-4331 |
| NPI enumerated | June 17, 2005 |
| Last updated in NPPES | September 1, 2020 |
| Certification date | September 1, 2020 |
| Mailing address | 435 W Starin Rd, Whitewater, WI 53190-1133 |