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Organization
SAFE SPACE IN-HOME SUPPORT LLC
Active
Organization
SAFE SPACE IN-HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAYNE SIMMONS (CEO)
(704) 287-2252
Entity
Organization
Contact information
Practice address
662 SUTTLE STREET, SHELBY, NC 28150
(704) 287-2252
(704) 287-2252
Mailing address
6204 HARBURN FOREST DR, CHARLOTTE, NC 28269-6902
(704) 287-2252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
07/31/2026
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