Safe Harbour Living, Llc

LBN: Safe Harbour Living, Llc
Safe Harbour Living, Llc is an health care organization with primary practice located at 3784 Fremont Dr , Ellenwood GA 30294-6660. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Safe Harbour Living, Llc can be contacted via phone (770) 474-4472, or through Burrell, Talis via phone (770) 474-4472.

Contact Information

Primary practice address
3784 Fremont Dr Ellenwood GA 30294-6660
Phone: (770) 474-4472
Fax: (770) 972-1791
Website:
Map and Directions
Authorized official contact:
Name: Burrell, Talis
Phone: (770) 474-4472

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 031013099 Georgia
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 031013099 Georgia

Profile Details

NPI number 1316246986
LBN Legal business name Safe Harbour Living, Llc
DBA Doing business as
Authorized official Burrell, Talis
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2011
Last updated Mar 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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