Organization · NPI-2

A Peaceful Life Home Care & Companion

Home Health · Clearwater, FL

NPI number1427716976
StatusActive
Last updated in NPPESJan 14, 2022

Details

NPI
1427716976
Entity type
Organization (NPI-2)
Legal business name
A Peaceful Life Home Care & Companion
Organization subpart
No
Enumeration date
Dec 1, 2021
Certification date
Jan 14, 2022
Last updated
Jan 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

2664 N Mcmullen Booth Rd Apt 614
Clearwater, FL 33761-4065

Phone 813-580-6363

Mailing address

2664 N Mcmullen Booth Rd Apt 614
Clearwater, FL 33761-4065

Phone 813-580-6363

Authorized official

Mikenya Latanza Green
Sole Owner
8135806363

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