# PEACH HILL CARE LLC

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

## Provider details

- **NPI number:** 1073189601
- **Authorized official:** MARIA J QUINONES LPN/LVN (GENERAL MANAGER)
- **Authorized official phone:** (805) 212-0203

## Contact information

- **Practice address:** 450 S SUSAN CREEK DR, STONE MOUNTAIN, GA 30083-4426
- **Practice address phone:** (805) 212-0203
- **Mailing address:** 450 S SUSAN CREEK DR, STONE MOUNTAIN, GA 30083-4426
- **Mailing address phone:** (805) 212-0203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 03/04/2022