Organization
SAFE HAVEN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RENEE NICHOLS (DIRECTOR)
(602) 695-0876
Entity
Organization
Contact information
Practice address
15508 W BELL RD STE 101 #280, SURPRISE, AZ 85374-2432
(602) 695-0876
(602) 391-2210
Mailing address
15508 W BELL RD STE 101 #280, SURPRISE, AZ 85374-2432
(602) 695-0876
(602) 391-2210
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
10/06/2020
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