# PEACHY ORCHARD LLC

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

## Provider details

- **NPI number:** 1083598676
- **Authorized official:** ERATINA E OPEL (OWNER)
- **Authorized official phone:** (334) 939-2170

## Contact information

- **Practice address:** 412 JUNIPER DR, CRESTVIEW, FL 32536-9223
- **Practice address phone:** (334) 939-2170
- **Mailing address:** 3313 FALCO RD, WING, AL 36483-7101
- **Mailing address phone:** (334) 939-2170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2025
- **Last updated:** 08/05/2025
