Peaceful House #3

LBN: Peaceful House #3
Peaceful House #3 is an health care organization with primary practice located at 2724 Marlin Dr , Durham NC 27703-4354. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Peaceful House #3 can be contacted via phone (919) 596-4667, or through Hatley, Tammy via phone (919) 641-7981.

Contact Information

Primary practice address
2724 Marlin Dr Durham NC 27703-4354
Phone: (919) 596-4667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hatley, Tammy
Phone: (919) 641-7981

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-032-348 North Carolina

Profile Details

NPI number 1780882019
LBN Legal business name Peaceful House #3
DBA Doing business as
Authorized official Hatley, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780882019 NPPES
North Carolina MEDICAID 7805386

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