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Organization
CAROL I PEAKE LLC
Active
Organization
CAROL I PEAKE LLC
Active
Other names
Peake Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL I. PEAKE NP-C (FNP)
41948810890
Entity
Organization
Contact information
Practice address
5830 WOODROW DR, SYLVANIA, OH 43560-1245
(419) 488-2089
Mailing address
5830 WOODROW DR, SYLVANIA, OH 43560-1245
(419) 488-2089
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
177151
OH
275N00000X
Medicare Defined Swing Bed Hospital Unit
2127186
OH
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
177151
OH
281P00000X
Chronic Disease Hospital
1467635664
OH
311ZA0620X
Adult Care Home Facility
1992015135
OH
Other
Enumeration date
10/20/2010
Last updated
11/20/2010
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