Organization
PEACEFUL RESIDENTIAL SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY COOPER (CEO)
(614) 423-8326
Entity
Organization
Contact information
Practice address
2151 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-3519
(614) 423-8326
(614) 423-8326
Mailing address
2151 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-3519
(614) 423-8326
(614) 423-8326
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2558601
OH
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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