Organization Name: | SAFE AND SECURE RESPITE CARE, LLC |
NPI Number: | 1023457306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA ANNE TINGLE (ADMINISTRATOR) |
Mailing Address: | 3215 E James Lee Blvd Crestview |
State: | FL US |
Postal Code: | 325396037 |
Phone Number: | 8504231228 |
Fax Number: | 8504231231 |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | AL11068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |