# PEACE AND SERENITY SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1578129516
- **Authorized official:** JUANITA ALLEN (OWNER/PRESIDENT)
- **Authorized official phone:** (267) 693-4568

## Contact information

- **Practice address:** 4700 CITY AVE APT 10305, PHILADELPHIA, PA 19131-1572
- **Practice address phone:** (267) 693-4568
- **Mailing address:** 4700 CITY AVE APT 10305, PHILADELPHIA, PA 19131-1572
- **Mailing address phone:** (267) 693-4568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 06/13/2019