Provider Demographics
NPI:1629688080
Name:SAFE DESTINY LLC
Entity Type:Organization
Organization Name:SAFE DESTINY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-705-8184
Mailing Address - Street 1:907 OAKWOOD ST SE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3729
Mailing Address - Country:US
Mailing Address - Phone:330-705-7393
Mailing Address - Fax:330-497-4585
Practice Address - Street 1:907 OAKWOOD ST SE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-3729
Practice Address - Country:US
Practice Address - Phone:330-705-7393
Practice Address - Fax:330-497-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH172A00000XOtherSTATE OF OHIOA