Provider Demographics
NPI:1003538257
Name:SAFELY HOME
Entity Type:Organization
Organization Name:SAFELY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-266-3235
Mailing Address - Street 1:7840 PINE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-8703
Mailing Address - Country:US
Mailing Address - Phone:850-471-8301
Mailing Address - Fax:850-607-6673
Practice Address - Street 1:7840 PINE FOREST RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-8703
Practice Address - Country:US
Practice Address - Phone:850-471-8301
Practice Address - Fax:850-607-6673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health