Organization
SAFE HAVEN ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKYE SAMS (ADMINISTRATOR)
(276) 393-0622
Entity
Organization
Contact information
Practice address
222 GRANDVIEW DR SE, WISE, VA 24293-5300
(276) 393-0622
Mailing address
8426 PENDLETON RD, WISE, VA 24293-7730
(276) 393-0622
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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