Healthcare Provider Details

I. General information

NPI: 1376609230
Provider Name (Legal Business Name): LIFESAFE SECURITY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 11/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5324 HIGHWAY 104 WEST
DYERSBURG TN
38024
US

IV. Provider business mailing address

PO BOX 645
FINLEY TN
38030-0645
US

V. Phone/Fax

Practice location:
  • Phone: 731-286-1083
  • Fax: 731-287-1352
Mailing address:
  • Phone: 731-286-1083
  • Fax: 731-287-1352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State

VIII. Authorized Official

Name: AMY FINLEY SMITH
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 731-286-1083