Organization
PEACE OF MIND ADULT MEDICAL DAY CARE AGENCY, INC
Active
Other names
Peace of Mind Home Health Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LYNN DAVIS BACHELORS (OWNER/ADMINISTRATOR)
(304) 257-6690
Entity
Organization
Contact information
Practice address
836 LUNICE CREEK HWY, PETERSBURG, WV 26847-7528
(304) 257-6690
(304) 257-8260
Mailing address
836 LUNICE CREEK HWY, PO BOX 184, PETERSBURG, WV 26847-7528
(304) 257-6690
(304) 257-8260
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
23198575
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160820003
—
WV
05
—
23198575
—
WV
05
—
WVTPID005600
—
WV
Enumeration date
09/01/2016
Last updated
09/01/2016
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