# PEACEFUL RIVER HOME CARE AGENCY

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

## Provider details

- **NPI number:** 1952759219
- **Authorized official:** PAMELA S WILLIAMS (CEO/OWNER)
- **Authorized official phone:** (706) 681-4211

## Contact information

- **Practice address:** 738 RUDGATE ROAD, COLUMBUS, GA 31904
- **Practice address phone:** (706) 681-4211
- **Mailing address:** 738 RUDGATE RD, COLUMBUS, GA 31904-2929
- **Mailing address phone:** (706) 681-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 431342083 | GA | Yes |

## Other

- **Enumeration date:** 05/27/2016
- **Last updated:** 05/27/2016