Provider Demographics
NPI:1639932650
Name:PEACE OF MIND HOME CARE ASSISTANCE LLC
Entity Type:Organization
Organization Name:PEACE OF MIND HOME CARE ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-463-9958
Mailing Address - Street 1:PO BOX 1778
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-1778
Mailing Address - Country:US
Mailing Address - Phone:843-463-9958
Mailing Address - Fax:
Practice Address - Street 1:100 E MADISON ST STE A
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2466
Practice Address - Country:US
Practice Address - Phone:843-463-9958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care