# PEAK MEDICAL HOME CARE INC.

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

## Provider details

- **NPI number:** 1063752590
- **Authorized official:** LORI LYNN GOULD (PRESIDENT)
- **Authorized official phone:** (815) 398-1333

## Contact information

- **Practice address:** 435 N MULFORD RD, SUITE 7, ROCKFORD, IL 61107-5189
- **Practice address phone:** (815) 398-1333
- **Practice address fax:** (815) 398-1361
- **Mailing address:** 435 N MULFORD RD, SUITE 7, ROCKFORD, IL 61107-5189
- **Mailing address phone:** (815) 398-1333
- **Mailing address fax:** (815) 398-1361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4000389 | IL | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 02/20/2013