Peaceful Home Assisted Living, INC
NPI #1396200416 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1396200416
- Entity Type
- Organization
- Organization Name
- Peaceful Home Assisted Living, INC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Behavioral Disturbances
- Enumeration Date
- Feb 2, 2019
- Last Updated
- Feb 2, 2019
Practice Location
- Address
- 1186 SAINT PAUL AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-2557
- Phone
- (612) 203-5035
Authorized Official
- Name
- MR. YASSIN A IBRAHIM
- Title
- PRESIDENT
- Phone
- (612) 203-5035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
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