Organization
SAFE HAVEN ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JATAN CLARK MBA (OWNER)
(708) 269-3891
Entity
Organization
Contact information
Practice address
19949 W HARRISON ST, BUCKEYE, AZ 85326-5115
(623) 377-7208
Mailing address
1453 N DYSART RD STE 106, AVONDALE, AZ 85323-1539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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