Organization
A SAFE HAVEN ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T HUBA (ADMINISTRATOR)
(727) 623-9073
Entity
Organization
Contact information
Practice address
9000 86TH AVE, SEMINOLE, FL 33777-2641
(727) 623-9073
Mailing address
9000 86TH AVE, SEMINOLE, FL 33777-2641
(727) 623-9073
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12103
FL
Other
Enumeration date
05/13/2012
Last updated
05/13/2012
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