Individual
TONI LYNN PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 LYNNY LN, MARIANNA, FL 32446-6862
(850) 718-7585
(850) 718-7585
Mailing address
2587 HEAVENLY DR, MARIANNA, FL 32448-6625
(850) 718-7585
(850) 718-7585
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
A-09-32-3123
FL
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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