Individual provider · NPI-1

Theresa Peace, home care

Home Health Aide · Brick, NJ

NPI number1609562552
StatusActive
Last updated in NPPESApr 13, 2023

Details

NPI
1609562552
Entity type
Individual (NPI-1)
Name
Mrs. Theresa Peace
Credential
home care
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2023
Certification date
Apr 13, 2023
Last updated
Apr 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–NJYes

Practice location

522 Brick Blvd Ste 205
Brick, NJ 08723-6089

Phone 732-691-5261 · Fax 732-561-6027

Mailing address

522 Brick Blvd
Brick, NJ 08723-6089

Phone 732-561-6026 · Fax 732-561-6027

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