Organization
UR PEACE OF THE PIE L3C, LLC
Active
Other names
URPEACE Companion Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY Y FORD (CEO/OWNER)
(336) 250-6525
Entity
Organization
Contact information
Practice address
202 MYRTLE ST, SOUTH BOSTON, VA 24592-3533
(434) 579-0940
Mailing address
202 MYRTLE ST, SOUTH BOSTON, VA 24592-3533
(434) 579-0940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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