Provider Demographics
NPI:1437400918
Name:PEACEKEEPERS
Entity type:Organization
Organization Name:PEACEKEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:WINDOLYN
Authorized Official - Middle Name:AJ
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:919-593-2527
Mailing Address - Street 1:5430 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NC
Mailing Address - Zip Code:27557
Mailing Address - Country:US
Mailing Address - Phone:919-593-2527
Mailing Address - Fax:919-300-1596
Practice Address - Street 1:5430 HOPKINS RD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NC
Practice Address - Zip Code:27557
Practice Address - Country:US
Practice Address - Phone:919-593-2527
Practice Address - Fax:919-300-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4043251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health