Organization
A SAFE HAVEN FOR COLUMBUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADARIA JOHNSON (OWNER)
(614) 373-2317
Entity
Organization
Contact information
Practice address
2295 PERDUE AVE, COLUMBUS, OH 43211-2868
(614) 373-2317
Mailing address
2295 PERDUE AVE, COLUMBUS, OH 43211-2868
(614) 373-2317
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
04/22/2025
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