Provider Demographics
NPI:1871332460
Name:SAFE HOME RELOCATION LLC
Entity type:Organization
Organization Name:SAFE HOME RELOCATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAKAVIE
Authorized Official - Middle Name:JANGAI
Authorized Official - Last Name:KANNEH
Authorized Official - Suffix:
Authorized Official - Credentials:BS AND MA
Authorized Official - Phone:267-575-1473
Mailing Address - Street 1:4124 QUEBEC AVE N # 302IC
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-1235
Mailing Address - Country:US
Mailing Address - Phone:267-575-1473
Mailing Address - Fax:
Practice Address - Street 1:4124 QUEBEC AVE N # 302IC
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-1235
Practice Address - Country:US
Practice Address - Phone:267-575-1473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty