MEDICARE: SAFARI HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1447005913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFARI HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5120 DALLASTOWN ST
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-5880
Country	:	US
Telephone Number	:	208-992-6510
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 W EMERALD ST STE 160
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-8297
Country	:	US
Telephone Number	:	208-992-6510
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GEORGE A SAFARI
Credential	:	CPSS
Telephone Number	:	208-992-6510

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	11/19/2024

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Directions to “SAFARI HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

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