# A SAFE HAVEN FOR COLUMBUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275332116
- **Authorized official:** SHADARIA JOHNSON (OWNER)
- **Authorized official phone:** (614) 373-2317

## Contact information

- **Practice address:** 2295 PERDUE AVE, COLUMBUS, OH 43211-2868
- **Practice address phone:** (614) 373-2317
- **Mailing address:** 2295 PERDUE AVE, COLUMBUS, OH 43211-2868
- **Mailing address phone:** (614) 373-2317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2025
- **Last updated:** 04/22/2025