Provider Demographics
NPI:1942909726
Name:A SAFE PLACE TO LAND LLC
Entity Type:Organization
Organization Name:A SAFE PLACE TO LAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIEL
Authorized Official - Middle Name:COVINGTON
Authorized Official - Last Name:ELSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-202-9437
Mailing Address - Street 1:822 RUSTLING RD
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-8600
Mailing Address - Country:US
Mailing Address - Phone:205-202-9437
Mailing Address - Fax:256-253-5628
Practice Address - Street 1:822 RUSTLING RD
Practice Address - Street 2:
Practice Address - City:ODENVILLE
Practice Address - State:AL
Practice Address - Zip Code:35120-8600
Practice Address - Country:US
Practice Address - Phone:205-202-9437
Practice Address - Fax:256-253-5628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty