# PENINSULA PREFERRED HOME HEALTH CORP

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

## Provider details

- **NPI number:** 1164278628
- **Authorized official:** SHADRA GARNES (OWNER)
- **Authorized official phone:** (907) 690-3474

## Contact information

- **Practice address:** 47366 LIBERTY LN, SOLDOTNA, AK 99669
- **Practice address phone:** (907) 690-3474
- **Mailing address:** 1230 LILAC LN \# 1, KENAI, AK 99611-7110

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 04/25/2024