# PEACE OF MIND ADULT GROUP HOME

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

## Provider details

- **NPI number:** 1508126293
- **Authorized official:** JENNIFER GARY-PETERSON (ADMINISTRATO/OWNER)
- **Authorized official phone:** (252) 462-5483

## Contact information

- **Practice address:** 703 BAYBERY LN, NASHVILLE, NC 27856-1578
- **Practice address phone:** (252) 462-5483
- **Practice address fax:** (252) 462-5483
- **Mailing address:** 703 BAYBERY LN, NASHVILLE, NC 27856-1578
- **Mailing address phone:** (252) 462-5483
- **Mailing address fax:** (252) 462-5483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 064131 | NC | Yes |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 05/29/2012