| Organization Name: | PEAK MEDICAL PEACHTREE, INC. |
| NPI Number: | 1144275587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM A. MATHIES (PRESIDENT DIRECTOR) |
| Mailing Address: | 985 S 800 W Brigham City |
| State: | UT US |
| Postal Code: | 843023042 |
| Phone Number: | 4357231394 |
| Fax Number: | 4357231416 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 09/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 2004ALI47536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |