| NPI | 1508639162 |
|---|---|
| Former Legal Business Name | PEACEFUL CREST LLC |
| Entity Type | Organization |
| Authorized Contact | CONRAD MAKO President 717-884-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |