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Katie Jane Peace

In Home Supportive Care in Davie, FL. Individual provider (NPI-1).

NPI number1225896293
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1225896293
Entity type
Individual (NPI-1)
Name
Mrs. Katie Jane Peace
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 13, 2024
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
372600000X Adult Companion––
376J00000X Homemaker––
385H00000X Respite Care––

Practice location

13400 Sw 14th Pl
Davie, FL 33325-5725

Phone 859-694-5412

Mailing address

13400 Sw 14th Pl
Davie, FL 33325-5725

Phone 859-694-5412

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