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Contact Information

SAFE HARBOUR LIVING, LLC
3784 FREMONT DR
ELLENWOOD, GA30294-6660
 Phone: 770-474-4472
 Fax: 770-972-1791
 Website:
Indicates primary specialty

NPI Profile & details for SAFE HARBOUR LIVING, LLC

NPI # 1316246986
LBN Legal business name SAFE HARBOUR LIVING, LLC
Authorized official TALIS BURRELL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2011
Last updated 03/22/2011 - About 15 years ago
Identifiers
GA License # 031013099
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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