Healthcare Provider Details

I. General information

NPI: 1174204069
Provider Name (Legal Business Name): KEEP IT SIMPLE AND SAFE FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 E 207TH ST APT 5K
BRONX NY
10467-4056
US

IV. Provider business mailing address

277 E 207TH ST APT 5K
BRONX NY
10467-4056
US

V. Phone/Fax

Practice location:
  • Phone: 347-872-0551
  • Fax:
Mailing address:
  • Phone: 347-872-0551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WALTER R BELL JR.
Title or Position: FOUNDER
Credential:
Phone: 347-872-0551