Healthcare Provider Details

I. General information

NPI: 1750089108
Provider Name (Legal Business Name): SAFE HAVEN ENTERPRISE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 MARTIN LUTHER KING BLVD STE C
FORT MYERS FL
33901-3669
US

IV. Provider business mailing address

2200 MARTIN LUTHER KING BLVD STE C
FORT MYERS FL
33901-3669
US

V. Phone/Fax

Practice location:
  • Phone: 863-350-0242
  • Fax:
Mailing address:
  • Phone: 863-350-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE COBB
Title or Position: DIRECTOR
Credential:
Phone: 863-350-0242