Organization
A PLACE OF PEACE 2 LLC
Active
Parent organization
A PLACE OF PEACE 2LLC
Other names
A place of peace 2 assisted living facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
A PLACE OF PEACE 2LLC
Authorized official
SHANTAVIA L COOPER (OWNER)
(386) 898-4975
Entity
Organization
Contact information
Practice address
1640 GREGORY DR, DELTONA, FL 32738-6151
(386) 898-4975
(386) 259-9559
Mailing address
1931 N WORTHINGTON DR, DELTONA, FL 32738-6143
(386) 457-3207
(386) 259-9559
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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