Organization Name: | PEACE OF MIND HOME CARE, LLC |
NPI Number: | 1346541976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAD ULMER (PROGRAM DIRECTOR) |
Mailing Address: | 224 N 7th St Saint Joseph |
State: | MO US |
Postal Code: | 645011906 |
Phone Number: | 8162941222 |
Fax Number: | 8169013054 |
NPI Enumeration Date: | 11/12/2010 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 0011472 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |