Healthcare Provider Details

I. General information

NPI: 1306772108
Provider Name (Legal Business Name): PEACE ON EARTH LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15008 STEVENS AVE
BURNSVILLE MN
55306-5036
US

IV. Provider business mailing address

15008 STEVENS AVE
BURNSVILLE MN
55306-5036
US

V. Phone/Fax

Practice location:
  • Phone: 952-451-2356
  • Fax:
Mailing address:
  • Phone: 952-451-2356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOIRA DUVERNEAU-SALIFU
Title or Position: DIRECTOR / PRESIDENT
Credential: MSN, APRN, NP-C
Phone: 952-451-2356