Provider Demographics
NPI:1689322133
Name:SAFE CARE MED SERVICES, LLC
Entity Type:Organization
Organization Name:SAFE CARE MED SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON-DESRAMEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-728-7246
Mailing Address - Street 1:1853 OTTOMAN ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-6402
Mailing Address - Country:US
Mailing Address - Phone:239-321-4072
Mailing Address - Fax:866-816-3128
Practice Address - Street 1:1853 OTTOMAN ST
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-6402
Practice Address - Country:US
Practice Address - Phone:123-321-4072
Practice Address - Fax:866-816-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10D2254847OtherCLIA WAVER CERTIFICATE