Organization
PEACEFUL LIVING HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATUMA ALI (AUTHORIZED OFFICIAL)
(651) 442-6956
Entity
Organization
Contact information
Practice address
1550 LARPENTEUR AVE W APT 324, SAINT PAUL, MN 55113-6365
(651) 442-6956
Mailing address
1550 LARPENTEUR AVE W APT 324, SAINT PAUL, MN 55113-6365
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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