Healthcare Provider Details

I. General information

NPI: 1083299960
Provider Name (Legal Business Name): THE FINAL PEACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 W 70TH PL
MERRILLVILLE IN
46410-3422
US

IV. Provider business mailing address

546 W 70TH PL
MERRILLVILLE IN
46410-3422
US

V. Phone/Fax

Practice location:
  • Phone: 219-575-7536
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ALEISHA STANLEY
Title or Position: CEO
Credential:
Phone: 219-576-7536