Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marys Safe Haven LLC

Organization Case Manager/Care Coordinator · NPI 1780544379

Marys Safe Haven LLC is a Case Manager/Care Coordinator in Lithonia, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755 Mountain Ridge Way
Lithonia, GA 30058-2923
Phone: (470) 432-6992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Driver Taxonomy 172A00000X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Home Health Aide Taxonomy 374U00000X
Homemaker Taxonomy 376J00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1780544379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latonya McQueen — Ceo · (470) 432-6992
NPI enumeratedNovember 15, 2025
Last updated in NPPESNovember 15, 2025
Certification dateNovember 14, 2025
Mailing address755 Mountain Ridge Way, Lithonia, GA 30058-2923

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