Organization
A SAFE PLACE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA NICOLE BRADLEY RN (OWNER)
(216) 688-6406
Entity
Organization
Contact information
Practice address
4896 N RANDALL DR, NORTH RANDALL, OH 44128-4766
(216) 688-6406
Mailing address
4896 N RANDALL DR, NORTH RANDALL, OH 44128-4766
(216) 688-6406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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