Organization
PEACETREE COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA STEFANIK (PRESIDENT)
(515) 305-5749
Entity
Organization
Contact information
Practice address
7515 NW 16TH ST, ANKENY, IA 50023-8807
(515) 305-5749
Mailing address
7515 NW 16TH ST, ANKENY, IA 50023-8807
(515) 305-5749
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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