Provider Demographics
NPI:1962265272
Name:PEACE OF MIND OUTREACH SERVICES
Entity type:Organization
Organization Name:PEACE OF MIND OUTREACH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:757-478-9836
Mailing Address - Street 1:3109 DRIVER STATION WAY
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1235
Mailing Address - Country:US
Mailing Address - Phone:757-478-9836
Mailing Address - Fax:
Practice Address - Street 1:118 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5229
Practice Address - Country:US
Practice Address - Phone:757-478-9836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care