Organization · NPI-2

A Safe Haven Residential Support Services LLC

Day Training, Developmentally Disabled Services · Chesapeake, VA

NPI number1649950007
StatusActive
Last updated in NPPESJul 20, 2023

Details

NPI
1649950007
Entity type
Organization (NPI-2)
Legal business name
A Safe Haven Residential Support Services LLC
Organization subpart
No
Enumeration date
Jul 20, 2023
Certification date
Jul 20, 2023
Last updated
Jul 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Other names

  • A Safe Haven Residential Support Services, LLC (Doing Business As)

Practice location

2117 Smith Ave Ste C
Chesapeake, VA 23320-2519

Phone 757-580-1525 · Fax 757-257-0351

Mailing address

2117 Smith Ave Ste C
Chesapeake, VA 23320-2519

Phone 757-580-1525 · Fax 757-257-0351

Authorized official

Kimala Brady
Ceo
7577488570

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