Provider Demographics
NPI:1609438373
Name:SAFE AT HOME SENIOR SERVICES
Entity Type:Organization
Organization Name:SAFE AT HOME SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OT
Authorized Official - Phone:919-323-1155
Mailing Address - Street 1:1615 WADDELL CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8332
Mailing Address - Country:US
Mailing Address - Phone:919-323-1155
Mailing Address - Fax:919-596-8322
Practice Address - Street 1:1615 WADDELL CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8332
Practice Address - Country:US
Practice Address - Phone:919-323-1155
Practice Address - Fax:919-596-8322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation