Provider Demographics
NPI:1184182925
Name:SAFE LITE CARE INCORPORATED
Entity Type:Organization
Organization Name:SAFE LITE CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENO
Authorized Official - Middle Name:
Authorized Official - Last Name:EKPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-407-1189
Mailing Address - Street 1:5415 CARTA VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6086
Mailing Address - Country:US
Mailing Address - Phone:832-407-1189
Mailing Address - Fax:
Practice Address - Street 1:5415 CARTA VALLEY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6086
Practice Address - Country:US
Practice Address - Phone:832-407-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities