Healthcare Provider Details

I. General information

NPI: 1750196150
Provider Name (Legal Business Name): SAFE SPACE SOLUTIONS OF WEST MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 EASTWIND DR
NORTON SHORES MI
49444-7882
US

IV. Provider business mailing address

1955 EASTWIND DR # NA
NORTON SHORES MI
49444-7882
US

V. Phone/Fax

Practice location:
  • Phone: 231-288-5213
  • Fax:
Mailing address:
  • Phone: 231-288-5213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. URSULA SHERRELL HARRIS
Title or Position: FOUNDER/DIRECTOR
Credential:
Phone: 231-288-5213