Organization
A SAFE PLACE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA MARIE EVANS (ADMINISTRATOR)
(414) 204-8599
Entity
Organization
Contact information
Practice address
6815 W CAPITOL DR STE 117, MILWAUKEE, WI 53216-2056
(414) 204-8599
(414) 204-8535
Mailing address
6815 W. CAPITOL DRIVE SUITE 117, 6815 W. CAPITOL DRIVE SUITE 117, MILWAUKEE, WI 53216
(414) 204-8599
(414) 204-8535
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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