Organization
SAFE HAVEN RESIDENTIAL CARE
Active
Other names
SAFE HAVEN RESIDENTIAL CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNEL BOND CEO (OWNER)
(757) 802-0441
Entity
Organization
Contact information
Practice address
317 BOERUM CT, VA BEACH, VA 23452-1859
(757) 802-0441
Mailing address
317 BOERUM CT, VA BEACH, VA 23452-1859
(757) 802-0441
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO22294
—
VA
Enumeration date
05/03/2023
Last updated
10/14/2024
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