Organization
PEACOCK HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY GOSIK (PRESIDENT)
(609) 868-4124
Entity
Organization
Contact information
Practice address
155 SHERIDAN SQ STE B, BRIGANTINE, NJ 08203-2358
(609) 868-4124
Mailing address
155 SHERIDAN SQ STE B, BRIGANTINE, NJ 08203-2358
(609) 868-4124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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