Provider Demographics
NPI:1912362898
Name:SAFE HAVEN DARTS, LLC
Entity Type:Organization
Organization Name:SAFE HAVEN DARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA
Authorized Official - Phone:740-542-2655
Mailing Address - Street 1:38 S PAINT ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3238
Mailing Address - Country:US
Mailing Address - Phone:740-542-1412
Mailing Address - Fax:
Practice Address - Street 1:38 S PAINT ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3238
Practice Address - Country:US
Practice Address - Phone:740-542-1412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13898251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare