Peaceful House Iii

LBN: Peaceful House Iii
Peaceful House Iii is an health care organization with primary practice located at 2724 Marlin Dr , Durham NC 27703-4354. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Peaceful House Iii can be contacted via phone (919) 641-7981, or through Jegbadai, Carley Y via phone (919) 790-1953.

Contact Information

Primary practice address
2724 Marlin Dr Durham NC 27703-4354
Phone: (919) 641-7981
Fax: (919) 957-4681
Website:
Map and Directions
Authorized official contact:
Name: Jegbadai, Carley Y Registered Nurse (RN)
Phone: (919) 790-1953

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X

Profile Details

NPI number 1356546113
LBN Legal business name Peaceful House Iii
DBA Doing business as
Authorized official Jegbadai, Carley Y Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356546113 NPPES
North Carolina MEDICAID 7805386

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