Organization · Type 2 NPI

Safe Haven Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayette, MS

NPI number 1043008329 Active

Practice location

1677 Main Street
Fayette, MS 39069

Mailing address

1080 Great Point Rd
Mccomb, MS 39648-4753

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Intellectual Disabilities Intermediate Care Facility 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Respite Care 385H00000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1043008329

Safe Haven Home's National Provider Identifier is 1043008329, issued on Apr 28, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fayette, MS. The record was last updated on Apr 28, 2025.