Healthcare Provider Details

I. General information

NPI: 1518998418
Provider Name (Legal Business Name): SAFE 4 SENIORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 SW 55TH ST
COOPER CITY FL
33328-5814
US

IV. Provider business mailing address

2061 ASHBURTON WAY
MT PLEASANT SC
29466-6877
US

V. Phone/Fax

Practice location:
  • Phone: 954-815-4081
  • Fax: 954-735-3385
Mailing address:
  • Phone: 954-815-4081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT21011
License Number StateFL

VIII. Authorized Official

Name: DR. RACHEL SLOVAN
Title or Position: PRESIDENT
Credential: DPT
Phone: 954-815-4081