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General NPI Number Information
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NPI Number | 1508403247
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Entity Type | Organization
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Legal Business Name | A PLACE OF PEACE 2LLC
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1931 N WORTHINGTON DR
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City | DELTONA
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State | FL
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Zip | 32738-6143
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Country | US
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Telephone | 386-898-4975
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Fax | 383-259-9559
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Provider Business Mailing Address
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Address Line | 1931 N WORTHINGTON DR
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City | DELTONA
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State | FL
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Zip | 32738-6143
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Country | US
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Telephone | 386-898-4975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANTAVIA LASHAY COOPER
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Credential |
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Telephone | 386-898-4975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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