Organization
SAFE HAVEN COMMUNITY LIVING
Active
Other names
Safe Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY KEVIN BRUNO (OWNER)
(832) 856-0414
Entity
Organization
Contact information
Practice address
1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
(210) 563-0768
Mailing address
1226 W GRAND PKWY S, APT 1229, KATY, TX 77494-8442
(210) 563-0768
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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