Healthcare Provider Details

I. General information

NPI: 1396632162
Provider Name (Legal Business Name): PEACE ZONE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 SE 316TH PL
AUBURN WA
98092-5300
US

IV. Provider business mailing address

11211 SE 316TH PL
AUBURN WA
98092-5300
US

V. Phone/Fax

Practice location:
  • Phone: 571-723-1063
  • Fax:
Mailing address:
  • Phone: 571-723-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: NITA GURAGAIN
Title or Position: OWNER
Credential: RN
Phone: 571-723-1063