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Organization
PEACHTREE SERVICES LLC
Active
Organization
PEACHTREE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON JOHNSON (OWNER)
(586) 393-7599
Entity
Organization
Contact information
Practice address
24450 EVERGREEN RD, SOUTHFIELD, MI 48075-5518
(586) 393-7599
Mailing address
1648 WIMBLEDON DR, WALLED LAKE, MI 48390-3179
(424) 421-9877
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
04/10/2018
Last updated
04/13/2018
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