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General NPI Number Information
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NPI Number | 1306732896
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN CARE
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1212 BELLE OAK PT
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City | BRANDON
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State | MS
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Zip | 39042-8206
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Country | US
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Telephone | 662-736-4879
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 BELLE OAK PT
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City | BRANDON
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State | MS
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Zip | 39042-8206
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Country | US
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Telephone | 662-736-4879
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MRS. VELKEDA MCCAIN
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Credential | MHA, RVT
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Telephone | 662-736-4879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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