| NPI | 1841548898 |
|---|---|
| Doing Business As | PEACHESNABASKETADULT SERVICES |
| Entity Type | Organization |
| Authorized Contact | B.DOLORES FLEMMING CEO 904-766-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 231670) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |