Healthcare Provider Details

I. General information

NPI: 1265371041
Provider Name (Legal Business Name): HEALTHY AND SAFE LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12701 HILLMEADE STATION DR
BOWIE MD
20720-3314
US

IV. Provider business mailing address

12701 HILLMEADE STATION DR
BOWIE MD
20720-3314
US

V. Phone/Fax

Practice location:
  • Phone: 507-316-0660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CLARISSE LABOR
Title or Position: OWNER
Credential:
Phone: 507-316-0660