License Type Code = General
License Number = 1000284
Licensee Name = FAIRHAVEN FUNERAL HOME, LLC
Business Name = FAIRHAVEN FUNERAL HOME, LLC
Business Address Line1 = 4989 MOUNT PLEASANT CHURCH RD
Business Address Line2 =
Business Address Line3 =
Business City = MACON
Business State = GA
Business Zip = 31216
Primary Phone = (478) 788-2929
Contact Name = CURTIS W. STOOTS
License Status = Active
Start Of Business Date = 2014-09-11
Out Of Business Date =
Contractor = No
Application Date = 2014-09-11
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