Provider Demographics
NPI:1447734124
Name:PEACE SOULS IN HOME CARE
Entity Type:Organization
Organization Name:PEACE SOULS IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-230-4600
Mailing Address - Street 1:57 AHONEN RD
Mailing Address - Street 2:
Mailing Address - City:OTISFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04270-6805
Mailing Address - Country:US
Mailing Address - Phone:207-230-4600
Mailing Address - Fax:
Practice Address - Street 1:57 AHONEN RD
Practice Address - Street 2:
Practice Address - City:OTISFIELD
Practice Address - State:ME
Practice Address - Zip Code:04270-6805
Practice Address - Country:US
Practice Address - Phone:207-230-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEACE SOULS IN HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care