# PEACEFULLHAVENSLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013735778
- **Authorized official:** WILLIE DEVON SMITH (OWNER)
- **Authorized official phone:** (810) 471-1973

## Contact information

- **Practice address:** 2701 E LAFAYETTE ST APT 5, DETROIT, MI 48207-3954
- **Practice address phone:** (713) 291-1249
- **Mailing address:** 2701 E LAFAYETTE ST APT 5, DETROIT, MI 48207-3954
- **Mailing address phone:** (713) 291-1249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 11/10/2025