Healthcare Provider Details

I. General information

NPI: 1750802542
Provider Name (Legal Business Name): SAFE ACCESS COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 06/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 AUBURN CT
ROARING BROOK TWP PA
18444-8200
US

IV. Provider business mailing address

PO BOX 1130
MOSCOW PA
18444-1130
US

V. Phone/Fax

Practice location:
  • Phone: 888-312-2264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DOUGLAS MORRISSEY
Title or Position: PRESIDENT
Credential:
Phone: 888-312-2264