Provider Demographics
NPI:1295327542
Name:A SAFE HAVEN CARE SERVICESS
Entity type:Organization
Organization Name:A SAFE HAVEN CARE SERVICESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHALOM
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-374-6955
Mailing Address - Street 1:1505 BEACH LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3401
Mailing Address - Country:US
Mailing Address - Phone:972-374-6955
Mailing Address - Fax:
Practice Address - Street 1:1505 BEACH LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3401
Practice Address - Country:US
Practice Address - Phone:972-374-6955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty