Organization · NPI-2

A Safe Place Services, LLC

In Home Supportive Care · Milwaukee, WI

NPI number1699295949
StatusActive
Last updated in NPPESJun 27, 2017

Details

NPI
1699295949
Entity type
Organization (NPI-2)
Legal business name
A Safe Place Services, LLC
Organization subpart
No
Enumeration date
Jun 27, 2017
Last updated
Jun 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

6815 W Capitol Dr Ste 117
Milwaukee, WI 53216-2056

Phone 414-204-8599 · Fax 414-204-8535

Mailing address

6815 W. Capitol Drive Suite 117
6815 W. Capitol Drive Suite 117
Milwaukee, WI 53216

Phone 414-204-8599 · Fax 414-204-8535

Authorized official

Nina Marie Evans
Administrator
4142048599

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