Organization
SAFE HAVEN ADULT RESIDENTIAL ENHANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DENISE GREGORY (CEO)
(804) 496-0442
Entity
Organization
Contact information
Practice address
516 HOKE DR, PETERSBURG, VA 23805-2649
(804) 496-0442
Mailing address
516 HOKE DR, PETERSBURG, VA 23805-2649
(804) 496-0442
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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