Healthcare Provider Details

I. General information

NPI: 1871956490
Provider Name (Legal Business Name): SAFE AT HOME LIVING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282D CEDARBRIDGE AVE
LAKEWOOD NJ
08701-4265
US

IV. Provider business mailing address

282D CEDARBRIDGE AVE
LAKEWOOD NJ
08701-4265
US

V. Phone/Fax

Practice location:
  • Phone: 732-200-1282
  • Fax:
Mailing address:
  • Phone: 732-200-1282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JACOB BERNATH
Title or Position: GENERAL MANAGER
Credential:
Phone: 732-200-1282