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Organization
SAFE HAVEN HOME
Active
Organization
SAFE HAVEN HOME
Active
Other names
Safe Haven HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LATOYA RENEE CAMERON NP (CEO)
(601) 341-3916
Entity
Organization
Contact information
Practice address
1677 MAIN STREET, FAYETTE, MS 39069
(601) 341-3916
Mailing address
1080 GREAT POINT RD, MCCOMB, MS 39648-4753
(601) 341-3916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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