Safe Haven House Llc in Julian - Residential Treatment Facility, Emotionally Disturbed Children
Safe Haven House Llc - NPI 1194940957
Safe Haven House Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Julian, North Carolina. Safe Haven House Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Safe Haven House Llc is 1194940957. The last update date is 2008-05-14.
Safe Haven House Llc's current location address is 4250 Old Julian Rd, Julian, North Carolina. You can contact this provider via phone number 3366854484 and fax number 3366850144. The mailing address for Safe Haven House Llc is 4250 Old Julian Rd, Julian, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Safe Haven House Llc |
|---|---|
| Address | 4250 Old Julian Rd, Julian, North Carolina |
| Phone Number | 3366854484 |
| Fax Number | 3366850144 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | White Staley Sandy |
| Telephone Number | 3366854484 |
NPI Number Detail
| NPI Number | 1194940957 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 4250 Old Julian Rd |
|---|---|
| City | Julian |
| State | North Carolina (NC) |
| Post Code | 272839217 |
| Phone Number | 3366854484 |
| Fax Number | 3366850144 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-810 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the Safe Haven House Llc's 1194940957?
The Safe Haven House Llc's NPI (National Provider Identifier) Number is 1194940957. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Safe Haven House Llc is geographically located?
The Safe Haven House Llc is physically situated at the following location: 4250 Old Julian Rd, Julian, NC, 272839217.
What is Safe Haven House Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Safe Haven House Llc is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy classification code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194940957 to Safe Haven House Llc?
The Centers for Medicare & Medicaid Services originally issued the 1194940957 to Safe Haven House Llc on 2007-04-16.
When was the Safe Haven House Llc's information last updated?
The Safe Haven House Llc's information was last updated on 2008-05-14.
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