Healthcare Provider Details

I. General information

NPI: 1780392670
Provider Name (Legal Business Name): SAFE RENT PRO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 11/09/2022
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 OAKHURST TER
DECATUR GA
30030-4364
US

IV. Provider business mailing address

651 N BROAD ST STE 205
MIDDLETOWN DE
19709-6402
US

V. Phone/Fax

Practice location:
  • Phone: 833-361-0040
  • Fax:
Mailing address:
  • Phone: 833-361-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANA MARIE URIBE
Title or Position: FOUNDER
Credential:
Phone: 833-361-0040