Provider Demographics
NPI:1245416254
Name:PEACE OF MIND
Entity Type:Organization
Organization Name:PEACE OF MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VELETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:601-559-3215
Mailing Address - Street 1:2028 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-4858
Mailing Address - Country:US
Mailing Address - Phone:601-559-3215
Mailing Address - Fax:
Practice Address - Street 1:2028 WILLOW WAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-4858
Practice Address - Country:US
Practice Address - Phone:601-559-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health