A Safe Haven Residential Support Services LLC
Organization Active NPI Developmentally Disabled Services Day Training Agency · Chesapeake, VA
NPI 1649950007 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1649950007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- A SAFE HAVEN RESIDENTIAL SUPPORT SERVICES LLC
- Practice address
- 2117 Smith Ave Ste C
Chesapeake, VA 23320-2519 - Phone
- (757) 580-1525
- Fax
- (757) 257-0351
- NPI assigned
- Jul 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimala Brady
- Title
- Ceo
- Phone
- (757) 748-8570
Practitioners 1
National Provider Directory
Locations
2117 Smith Ave
Ste C
Chesapeake, VA 23320
Phone (757) 580-1525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
2117 Smith Ave Ste C
Chesapeake, VA 23320-2519
Mailing address
2117 Smith Ave Ste C
Chesapeake, VA 23320-2519
Phone (757) 580-1525
Other names
- A Safe Haven Residential Support Services, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.