Organization
SAFEHOME SUPPORT L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIR A HASSAN (CEO)
(952) 217-7517
Entity
Organization
Contact information
Practice address
13232 COURT PL, BURNSVILLE, MN 55337-7804
(952) 217-7517
Mailing address
13232 COURT PL, BURNSVILLE, MN 55337-7804
(952) 217-7517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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