Healthcare Provider Details

I. General information

NPI: 1306750690
Provider Name (Legal Business Name): A SAFE PLACE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 FELLOWSHIP ROAD E GATE CENTER SUITE 200
MT. LAUREL NJ
08054
US

IV. Provider business mailing address

309 FELLOWSHIP ROAD E GATE CENTER SUITE 200
MT. LAUREL NJ
08054
US

V. Phone/Fax

Practice location:
  • Phone: 609-955-5737
  • Fax:
Mailing address:
  • Phone: 609-955-5737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LORA BEDERMAN
Title or Position: CEO
Credential:
Phone: 609-955-5737