Healthcare Provider Details

I. General information

NPI: 1013859792
Provider Name (Legal Business Name): SAFE LANDING FOR VETERANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 13TH AVE
PHENIX CITY AL
36867-5618
US

IV. Provider business mailing address

1214 13TH AVE
PHENIX CITY AL
36867-5618
US

V. Phone/Fax

Practice location:
  • Phone: 706-332-0210
  • Fax:
Mailing address:
  • Phone: 706-332-0210
  • Fax: 706-332-0210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FINISH MODELL MCKENZIE
Title or Position: ADMINISTRATOR / OWNER
Credential: MCKENZIE
Phone: 706-332-0210