Provider Demographics
NPI:1023985447
Name:SAFE AND SOUND RESIDENTIAL PROVIDER INC
Entity type:Organization
Organization Name:SAFE AND SOUND RESIDENTIAL PROVIDER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-454-4023
Mailing Address - Street 1:701 E FRANKLIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2502
Mailing Address - Country:US
Mailing Address - Phone:804-300-1444
Mailing Address - Fax:
Practice Address - Street 1:214 E GRACE ST STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1788
Practice Address - Country:US
Practice Address - Phone:804-300-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services