Organization
PERFECT PEACE HOME & PERSONALIZED CARE
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
JBRIEL ELIZABETH PORTER (OWNER)
(945) 213-8042
Entity
Organization
Contact information
Practice address
1615 PICKENS ST, MUSKOGEE, OK 74401-4134
(945) 213-8042
Mailing address
5500 STATE HIGHWAY 121 APT 2125, LEWISVILLE, TX 75056-4320
(945) 213-8042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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