Organization
PEACHY ORCHARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERATINA E OPEL (OWNER)
(334) 939-2170
Entity
Organization
Contact information
Practice address
412 JUNIPER DR, CRESTVIEW, FL 32536-9223
(334) 939-2170
Mailing address
3313 FALCO RD, WING, AL 36483-7101
(334) 939-2170
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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