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General NPI Number Information
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NPI Number | 1497320444
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Entity Type | Organization
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Legal Business Name | SAFE LIVING AT HOME, LLC
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 22614 MUSCADINE DR
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City | CLARKSBURG
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State | MD
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Zip | 20871-3354
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Country | US
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Telephone | 301-355-9636
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Fax |
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Provider Business Mailing Address
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Address Line | 22614 MUSCADINE DR
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City | CLARKSBURG
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State | MD
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Zip | 20871-3354
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Country | US
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Telephone | 301-355-9636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. YVETTE T DAY
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Credential | MS, OTR/L
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Telephone | 301-355-9636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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