Organization
SAFE HAVEN CARE SERVICES, LLC
Active
Other names
Safe Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN ROSS (OWNER/CEO)
(304) 755-1769
Entity
Organization
Contact information
Practice address
200 KANAWHA TER STE 1, SAINT ALBANS, WV 25177-2808
(304) 755-1769
(855) 843-9349
Mailing address
9013 TEAYS VALLEY RD, SCOTT DEPOT, WV 25560-7700
(304) 755-1769
(855) 843-9349
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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