Provider Demographics
NPI:1871183103
Name:PROPEACE HEALTHCARE LLC
Entity Type:Organization
Organization Name:PROPEACE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADENIKE
Authorized Official - Middle Name:FOLAKE
Authorized Official - Last Name:ADETULE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:862-297-3732
Mailing Address - Street 1:11 DUNDAR RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3513
Mailing Address - Country:US
Mailing Address - Phone:862-297-3732
Mailing Address - Fax:908-368-8520
Practice Address - Street 1:11 DUNDAR RD STE 207
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3513
Practice Address - Country:US
Practice Address - Phone:862-297-3732
Practice Address - Fax:908-368-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management