Organization
PEACE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEACE KIBAARA (OWNER/ ADMINISTRATOR)
(908) 414-1849
Entity
Organization
Contact information
Practice address
5127 53RD AVE N, CRYSTAL, MN 55429-3227
(908) 414-1849
Mailing address
5127 53RD AVE N, CRYSTAL, MN 55429-3227
(908) 414-1849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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