Organization
PEACE AND SERENITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA ALLEN (OWNER/PRESIDENT)
(267) 693-4568
Entity
Organization
Contact information
Practice address
4700 CITY AVE APT 10305, PHILADELPHIA, PA 19131-1572
(267) 693-4568
Mailing address
4700 CITY AVE APT 10305, PHILADELPHIA, PA 19131-1572
(267) 693-4568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
06/13/2019
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