Provider Demographics
NPI:1568939908
Name:SAFETYNET SOLUTIONS, INC
Entity Type:Organization
Organization Name:SAFETYNET SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QI OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-627-9772
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-0001
Mailing Address - Country:US
Mailing Address - Phone:877-250-7855
Mailing Address - Fax:
Practice Address - Street 1:43 HUDSON DR
Practice Address - Street 2:
Practice Address - City:SOUTHWICK
Practice Address - State:MA
Practice Address - Zip Code:01077-9546
Practice Address - Country:US
Practice Address - Phone:877-250-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110084506DMedicaid