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Organization

PEACE HAVEN RESIDENTIAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZEZE RWASAMA (CEO)
(202) 322-8157
Entity
Organization

Contact information

Practice address
6283 E PEMBOKE CT, CAMBY, IN 46113-9650
(202) 322-8157
Mailing address
6283 E PEMBOKE CT, CAMBY, IN 46113-9650
(202) 322-8157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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