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Organization
CJ SAFE HAVEN LLC
Active
Organization
CJ SAFE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL JACOBS (OWNER/ADMINISTRATOR)
(267) 496-5549
Entity
Organization
Contact information
Practice address
2230 S BEECHWOOD ST, PHILADELPHIA, PA 19145-3410
(267) 496-5549
(484) 461-3213
Mailing address
2230 S BEECHWOOD ST, PHILADELPHIA, PA 19145-3410
(267) 496-5549
(484) 461-3213
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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