Provider Demographics
NPI:1023726437
Name:PEACEFUL HEARTS ENTERPRISE INC
Entity type:Organization
Organization Name:PEACEFUL HEARTS ENTERPRISE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-330-5729
Mailing Address - Street 1:5238 L J MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8706
Mailing Address - Country:US
Mailing Address - Phone:177-033-0572
Mailing Address - Fax:678-828-7219
Practice Address - Street 1:5238 L J MARTIN DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-8706
Practice Address - Country:US
Practice Address - Phone:770-330-5729
Practice Address - Fax:678-828-7219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility