Provider Demographics
NPI:1093145617
Name:SAFE HAVEN INC
Entity Type:Organization
Organization Name:SAFE HAVEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIETRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-214-0208
Mailing Address - Street 1:3247 OREGON RD
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-8432
Mailing Address - Country:US
Mailing Address - Phone:785-214-0208
Mailing Address - Fax:
Practice Address - Street 1:3247 OREGON RD
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-8432
Practice Address - Country:US
Practice Address - Phone:785-214-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services