MEDICARE: A SAFE HARBOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1942604293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A SAFE HARBOUR

Provider Business Mailing Address
First Line	:	5840 CORPORATE WAY
Second Line	:	SUITE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2048
Country	:	US
Telephone Number	:	561-852-7352
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 CORPORATE WAY
Second Line	:	SUITE 101
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2048
Country	:	US
Telephone Number	:	561-852-7352
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID MICHAEL
Credential	:
Telephone Number	:	561-289-0398

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	10/15/2014

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Directions to “A SAFE HARBOUR ” Practice Location

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