| NPI | 1225309040 |
|---|---|
| Doing Business As | PEACHES-NA-BASKET ADULT SERVICES |
| Entity Type | Organization |
| Authorized Contact | B. DOLORES FLEMMING CEO 904-766-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2018-07-23 |