Organization · Type 2 NPI
Peace Wellness Center, LLC
Clinic/Center · Durant, MS
NPI number
1306111984
Active
Practice location
638 Northwest Ave
Durant, MS 39063-3337
Fax (800) 517-7659
Mailing address
PO Box 93
Vaiden, MS 39176-0093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | R869034 (MS) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
About NPI 1306111984
Peace Wellness Center, LLC's National Provider Identifier is 1306111984, issued on Mar 15, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Durant, MS. The record was last updated on Mar 15, 2012.