# MY PEACEFUL REFUGE, LLC

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

## Provider details

- **NPI number:** 1487317210
- **Authorized official:** CAROL DAVIS (ADMINISTRATOR - CARE PROVIDER)
- **Authorized official phone:** (313) 492-8951

## Contact information

- **Practice address:** 20428 NORBORNE, REDFORD, MI 48240-1109
- **Practice address phone:** (313) 492-8951
- **Practice address fax:** (248) 282-0658
- **Mailing address:** 2050 SOUTH BLVD UNIT 175, BLOOMFIELD HILLS, MI 48303-7007
- **Mailing address phone:** (313) 492-8951
- **Mailing address fax:** (248) 282-0658

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 10/22/2021