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Organization
SAFE HAVEN CARE, INC.
Active
Organization
SAFE HAVEN CARE, INC.
Active
Other names
Safe Haven Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DEAN BAUTISTA (OWNER/PRESIDENT)
(541) 678-5838
Entity
Organization
Contact information
Practice address
1005 NW GALVESTON AVE STE 200, BEND, OR 97703-2481
(541) 678-5838
(888) 937-7476
Mailing address
PO BOX 1416, BEND, OR 97709-1416
(541) 678-5838
(888) 937-7476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
15-2180
OR
253Z00000X
In Home Supportive Care Agency
Primary
15-2210
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656166
—
OR
05
—
500656177
—
OR
Enumeration date
09/12/2016
Last updated
09/12/2016
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