Healthcare Provider Details

I. General information

NPI: 1841562006
Provider Name (Legal Business Name): PEACE OF MIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E SCHOOL ST
ROSE HILL KS
67133-9794
US

IV. Provider business mailing address

400 E SCHOOL ST
ROSE HILL KS
67133-0185
US

V. Phone/Fax

Practice location:
  • Phone: 316-789-3897
  • Fax:
Mailing address:
  • Phone: 316-789-3897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberB008003
License Number StateKS

VIII. Authorized Official

Name: MRS. CHANDRA KAY BILHIMER
Title or Position: REGISTERED NURSE/OWNER
Credential:
Phone: 316-789-3897