Provider Demographics
NPI:1255754248
Name:PEACE FOR YOU IN-HOME CARE, INC.
Entity type:Organization
Organization Name:PEACE FOR YOU IN-HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-278-4637
Mailing Address - Street 1:1419 CHATTANOOGA AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2642
Mailing Address - Country:US
Mailing Address - Phone:706-278-4637
Mailing Address - Fax:706-529-5876
Practice Address - Street 1:1419 CHATTANOOGA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2642
Practice Address - Country:US
Practice Address - Phone:706-278-4637
Practice Address - Fax:706-529-5876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA155-R0838253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care