Provider Demographics
NPI:1295364271
Name:SAFEPLACE, INC.
Entity Type:Organization
Organization Name:SAFEPLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HACKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-767-3076
Mailing Address - Street 1:PO BOX 1456
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-1456
Mailing Address - Country:US
Mailing Address - Phone:256-767-3076
Mailing Address - Fax:
Practice Address - Street 1:CONFIDENTIAL LOCATION DOMESTIC VIOLENCE PROVIDER
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1456
Practice Address - Country:US
Practice Address - Phone:256-767-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable