Healthcare Provider Details

I. General information

NPI: 1386764165
Provider Name (Legal Business Name): SECURE AND SAFE AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 RAVENSWOOD BLVD
PORT CHARLOTTE FL
33954-1955
US

IV. Provider business mailing address

423 RAVENSWOOD BLVD
PORT CHARLOTTE FL
33954-1955
US

V. Phone/Fax

Practice location:
  • Phone: 855-277-0975
  • Fax: 888-936-0123
Mailing address:
  • Phone: 855-277-0975
  • Fax: 888-936-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICIA WHEELER
Title or Position: OWNER
Credential:
Phone: 931-261-0448