Provider Demographics
NPI:1891325692
Name:A PEACE OF MIND LIVING ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:A PEACE OF MIND LIVING ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-499-0329
Mailing Address - Street 1:3215 ROCK CREEK VILLA DR STE K
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1656
Mailing Address - Country:US
Mailing Address - Phone:804-499-0329
Mailing Address - Fax:
Practice Address - Street 1:3215 ROCK CREEK VILLA DR STE K
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-1656
Practice Address - Country:US
Practice Address - Phone:804-499-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health