Organization
SAFE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY EVERETT OT (CEO)
(601) 248-7673
Entity
Organization
Contact information
Practice address
507 COUNTY ROAD 102, OXFORD, MS 38655-8611
(601) 248-7673
Mailing address
507 COUNTY ROAD 102, OXFORD, MS 38655-8611
(601) 248-7673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XE1200X
Ergonomics Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/07/2020
Last updated
09/01/2021
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