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Organization

PEACEFUL RETREAT HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE JEUDY (CEO)
(803) 303-8787
Entity
Organization

Contact information

Practice address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(509) 768-2249
Mailing address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
06/25/2025
Last updated
06/25/2025
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