A Place of Peace 2 LLC

NPI #1235946617 in Deltona, Florida

Provider Information

NPI Number: 1235946617
Entity Type: Organization
Organization Name: A Place of Peace 2 LLC
Subpart: Yes (part of a larger organization)
Parent Organization: A PLACE OF PEACE 2LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 1640 GREGORY DR
City: Deltona
State: Florida
ZIP Code: 32738-6151
Phone: (386) 898-4975

Authorized Official

Name: SHANTAVIA L COOPER
Title: OWNER
Phone: (386) 898-4975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X
Assisted Living Facility	310400000X	Primary

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