Organization
PEACEFUL HOME ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RIVERA (OWNER)
(386) 986-6557
Entity
Organization
Contact information
Practice address
66 PATRIC DR, PALM COAST, FL 32164-7588
(386) 597-7750
Mailing address
66 PATRIC DR, PALM COAST, FL 32164-7588
(386) 597-7750
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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