Organization
SAFE HAVEN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BANKS KENERSON (DIRECTOR OF PROGRAMMING)
(225) 774-2943
Entity
Organization
Contact information
Practice address
9613 PLANK ROAD, SUITE O, CLINTON, LA 70722
(225) 683-1230
(225) 683-9691
Mailing address
PO BOX 8304, CLINTON, LA 70722-1304
(225) 683-1230
(225) 683-9691
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
14059
LA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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