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Organization
SAFE HAVEN RESIDENCE LLC
Active
Organization
SAFE HAVEN RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY ARYA (CFO)
(310) 933-7788
Entity
Organization
Contact information
Practice address
8237 ROCHESTER AVE STE 115, RANCHO CUCAMONGA, CA 91730-0749
(310) 933-7788
Mailing address
8237 ROCHESTER AVE STE 115, RANCHO CUCAMONGA, CA 91730-0749
(310) 933-7788
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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