Provider Demographics
NPI:1942233473
Name:PERSONAL SAFETY SPECIALISTS
Entity Type:Organization
Organization Name:PERSONAL SAFETY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-451-5091
Mailing Address - Street 1:101 CHASE CT NW
Mailing Address - Street 2:UNIT D
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-7186
Mailing Address - Country:US
Mailing Address - Phone:478-451-5091
Mailing Address - Fax:478-451-0104
Practice Address - Street 1:101 CHASE CT NW
Practice Address - Street 2:UNIT D
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-7186
Practice Address - Country:US
Practice Address - Phone:478-451-5091
Practice Address - Fax:478-451-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies