Organization

Peacefullhavensllc

Home Health Agency in Detroit, MI(View on Map)

Legal Business Name

Peacefullhavensllc

NPI Number

1013735778

NPI Type

Organization

Enumeration Date

10/01/2024

Specialties

(Taxonomies)

Code

251E00000X
251J00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

2701 E LAFAYETTE ST APT 5
2701 E LAFAYETTE ST APT 5

City

Detroit
Detroit

State

MI
MI

Postal Code

48207-3954
48207-3954

Country

US
US

Telephone Number

(713) 291-1249
(713) 291-1249

Authorized Official

Name

Willie Smith

Title or Position

OWNER

Telephone Number

(810) 471-1973

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/01/2024

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