Organization
SAFE HAVEN SENIOR TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUITA WEHRLY (OWNER)
(972) 358-7206
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN, SUITE 600W-#30, DALLAS, TX 75247
(972) 358-7206
Mailing address
2770 BARDIN RD APT 5304, GRAND PRAIRIE, TX 75052-7300
(214) 970-8794
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/19/2022
Last updated
08/30/2022
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