Organization
PEACH RETREAT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LABOCCIA OGUNLEWE RN (CEO)
(727) 483-3477
Entity
Organization
Contact information
Practice address
3260 LAMBTOWN RD, VIENNA, GA 31092-7102
(229) 521-1051
Mailing address
3260 LAMBTOWN RD, VIENNA, GA 31092-7102
(229) 521-1051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/03/2022
Last updated
10/11/2023
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