Provider Demographics
NPI:1023833837
Name:SAFEHAVEN ENTERPRISES LLC
Entity type:Organization
Organization Name:SAFEHAVEN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOREBU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-457-2203
Mailing Address - Street 1:381 RESERVE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-8004
Mailing Address - Country:US
Mailing Address - Phone:336-457-2203
Mailing Address - Fax:
Practice Address - Street 1:381 RESERVE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-8004
Practice Address - Country:US
Practice Address - Phone:336-457-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care