Organization
OUR PEACEHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LOVETT CNA (OWNER)
(850) 273-3639
Entity
Organization
Contact information
Practice address
1502 W THARPE ST, TALLAHASSEE, FL 32303-4544
(850) 273-3639
Mailing address
1502 W THARPE ST, TALLAHASSEE, FL 32303-4544
(850) 273-3639
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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