Organization
PEACOCK INVESTMENT ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PEACOCK (ADMINISTRATOR)
(850) 973-9800
Entity
Organization
Contact information
Practice address
458 NW MARION ST, MADISON, FL 32340-1431
(850) 973-9800
(850) 973-9600
Mailing address
458 NW MARION ST, MADISON, FL 32340-1431
(850) 973-9800
(850) 973-9600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10295
FL
310400000X
Assisted Living Facility
AL10759
FL
3104A0625X
Assisted Living Facility (Mental Illness)
AL10795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142510200
—
FL
05
—
689952800
—
FL
05
—
689952801
—
FL
Enumeration date
12/19/2010
Last updated
12/19/2010
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