NPI 1043008329

Safe Haven Home

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

Practice location

Address: 1677 Main Street, Fayette, MS 39069
Phone: (601) 341-3916
Mailing address: 1080 Great Point Rd, McComb, MS 39648-4753

Authorised official

Name: Latoya Renee Cameron
Title: Ceo
Phone: (601) 341-3916

Registered specialties (5)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Assisted Living Facility (Mental Illness)

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1043008329
Entity type: Organization
NPI issued: 28 Apr 2025
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.