Provider Demographics
NPI:1912756149
Name:EMILY'S SAFEHOUSE LLC
Entity type:Organization
Organization Name:EMILY'S SAFEHOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:NORMEKA
Authorized Official - Last Name:NESBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-582-3382
Mailing Address - Street 1:18 THOROUGHBRED CIR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8205
Mailing Address - Country:US
Mailing Address - Phone:828-582-3382
Mailing Address - Fax:
Practice Address - Street 1:64 VALENTINE ST
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-1075
Practice Address - Country:US
Practice Address - Phone:828-582-3382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness