| Organization Name: | FAYETTE RESOURCES, INC |
| NPI Number: | 1033567755 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHRYN SUSANO MORRIS (CHIEF EXECUTIVE OFFICER / PRESIDENT) |
| Mailing Address: | 674 Simpson Howell Rd Elizabeth |
| State: | PA US |
| Postal Code: | 150372820 |
| Phone Number: | 4123827191 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2016 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 447270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |