Provider Demographics
NPI:1659643773
Name:THE SAFE HAVEN
Entity Type:Organization
Organization Name:THE SAFE HAVEN
Other - Org Name:THE SAFE HAVEN DME SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-965-7473
Mailing Address - Street 1:207 N WATERFORD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2323
Mailing Address - Country:US
Mailing Address - Phone:972-965-7473
Mailing Address - Fax:
Practice Address - Street 1:207 N WATERFORD OAKS DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2323
Practice Address - Country:US
Practice Address - Phone:972-965-7473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies