Organization
PEACEFUL CREST
Active
Other names
Peaceful Crest LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD MAKO (PRESIDENT)
(717) 884-9857
Entity
Organization
Contact information
Practice address
2225 SYCAMORE ST, HARRISBURG, PA 17111-1026
(717) 884-9857
Mailing address
600 RED LION RD APT E2, PHILADELPHIA, PA 19115-1209
(717) 884-9857
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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