Fairhaven Opco, LLC

Practice location

Address

700 Madison Ave, Huntington, WV 25704-2630

Phone

(304) 522-0032

Fax

(304) 522-1481

Mailing address

3403 Pleasant Grove Rd, White House, TN 37188-5072

Authorised official

Name

Isaac S Dole

Title

Manager

Phone

(312) 724-8950

Registered specialties (2)

Registry record

NPI

1295111565

Entity type

Organization

NPI issued

10 Aug 2015

Record last updated

19 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.