Provider Demographics
NPI:1467273235
Name:SARAH'S PLACE LLC
Entity type:Organization
Organization Name:SARAH'S PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-366-7533
Mailing Address - Street 1:11 N WATER ST STE 10290
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-5010
Mailing Address - Country:US
Mailing Address - Phone:251-366-7533
Mailing Address - Fax:
Practice Address - Street 1:11 N WATER ST STE 10290
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-5010
Practice Address - Country:US
Practice Address - Phone:251-366-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty