Peace Of Mind Adult Medical Day Care Agency, Inc, NPI 1104373711
Adult Day Care Clinic/Center in Petersburg, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104373711
NPI Entity Type Organization
Provider Name Peace Of Mind Adult Medical Day Care Agency, Inc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 836 Lunice Creek Hwy, Petersburg, WV, US
Provider Mailing Address 836 Lunice Creek Hwy, Po Box 184, Petersburg, WV, US, 268477528
Is Sole Proprietor? No
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Organization Official

Official Name MS. BACHELORS Brenda Lynn Davis
Official Position OWNER/ADMINISTRATOR
Phone 304-257-6690

Primary Taxonomy

Taxonomy Code

261QA0600X

Taxonomy Name Adult Day Care Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 23198575
License State WV
Description Definition to come...

Other Organization Name

Peace of Mind Home Health Care Agency
Other Name

Business Address

Peace Of Mind Adult Medical Day Care Agency, Inc
836 Lunice Creek Hwy

Petersburg, WV, US

Phone: 304-257-6690
Fax: 304-257-8260

Mailing Address

Peace Of Mind Adult Medical Day Care Agency, Inc
836 Lunice Creek Hwy
Po Box 184
Petersburg, WV, US
ZIP 268477528
Phone: 304-257-6690
Fax: 304-257-8260

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
WVTPID005600 WV MEDICAID 05
160820003 WV MEDICAID 05
23198575 WV MEDICAID 05

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