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General NPI Number Information
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NPI Number | 1801753017
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Entity Type | Organization
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Legal Business Name | SAFENEST LIVING LLC
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1715 1/2 W 64TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90047-1946
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Country | US
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Telephone | 310-776-5858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11562
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City | SAN BERNARDINO
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State | CA
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Zip | 92423-1562
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Country | US
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Telephone | 310-776-5858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SIRRAH ESTELLE
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Credential |
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Telephone | 310-776-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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