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General NPI Number Information
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NPI Number | 1316842545
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Entity Type | Organization
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Legal Business Name | YOUR SAFE HAVEN
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 4606 BERMUDA DUNES DR
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City | PASCO
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State | WA
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Zip | 99301-2193
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Country | US
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Telephone | 509-713-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 4606 BERMUDA DUNES DR
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City | PASCO
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State | WA
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Zip | 99301-2193
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Country | US
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Telephone | 509-713-4404
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MICHELLE K LYNCH
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Credential | RN
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Telephone | 509-713-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | NULL
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