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Organization

SAFE HAVEN RESIDENTIAL LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY JACKSON (RN/OWNER)
(414) 517-6970
Entity
Organization

Contact information

Practice address
2152 GRANT AVE, MCDONOUGH, GA 30252-7697
(414) 517-6970
Mailing address
2152 GRANT AVE, MCDONOUGH, GA 30252-7697
(414) 517-6970

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
02/12/2026
Last updated
02/18/2026
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