# SAFE HAVEN ADULT DAY AND MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1962448308
- **Authorized official:** DR. DEBORAH ARNETTA RICH M.D. (OWNER)
- **Authorized official phone:** (703) 791-3288

## Contact information

- **Practice address:** 12307 CHARLES LACEY DR, MANASSAS, VA 20112-8837
- **Practice address phone:** (703) 791-3288
- **Practice address fax:** (703) 794-9987
- **Mailing address:** 12307 CHARLES LACEY DR, MANASSAS, VA 20112-8837
- **Mailing address phone:** (703) 791-3288
- **Mailing address fax:** (703) 794-9987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0101052792 | VA | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 08/19/2014