Organization
PEGGY'S PLACE, LLC
Active
Parent organization
PEGGY'S PLACE, LLC
Other names
Peggy's Place Adult Life Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEGGY'S PLACE, LLC
Authorized official
TRACY DIERS RN (PRESIDENT)
(812) 913-4308
Entity
Organization
Contact information
Practice address
1730 AUDUBON DR STE 100, NEW ALBANY, IN 47150-3482
(812) 590-2857
(888) 544-7301
Mailing address
1730 AUDUBON DR STE 100, NEW ALBANY, IN 47150-3482
(812) 590-2857
(888) 544-7301
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006752
—
IN
01
—
VA249-17-A-0044
VETERAN'S AFFAIRS
—
Enumeration date
03/26/2019
Last updated
03/26/2019
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