Provider Demographics
NPI:1730530510
Name:SAFE LIVING SOLUTIONS
Entity type:Organization
Organization Name:SAFE LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:CASTLE
Authorized Official - Last Name:MARTELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:CAPS
Authorized Official - Phone:336-382-3952
Mailing Address - Street 1:2209 EASTCHESTER DR.
Mailing Address - Street 2:STE 109
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:888-306-7137
Mailing Address - Fax:360-530-3821
Practice Address - Street 1:2209 EASTCHESTER DR.
Practice Address - Street 2:STE 109
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265
Practice Address - Country:US
Practice Address - Phone:888-306-7137
Practice Address - Fax:360-530-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty