Organization
SAFE HAVEN CARE, INC.
Active
Other names
Safe Haven Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DEAN BAUTISTA (OWNER/PRESIDENT)
(541) 678-5838
Entity
Organization
Contact information
Practice address
1005 NW GALVESTON AVE STE 200, BEND, OR 97703-2481
(541) 678-5838
(888) 937-7476
Mailing address
PO BOX 1416, BEND, OR 97709-1416
(541) 678-5838
(888) 937-7476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
15-2180
OR
253Z00000X
In Home Supportive Care Agency
Primary
15-2210
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656166
—
OR
05
—
500656177
—
OR
Enumeration date
09/12/2016
Last updated
09/12/2016
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