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Peacock Investment Enterprises
Assisted Living Facility (Mental Illness) in Madison, Florida
NPI 1770886475

Peacock Investment Enterprises is an Assisted Living Facility (Mental Illness) based in Madison, FL and is specialized in Assisted Living, Mental Illness. Peacock Investment Enterprises practices in Madison, FL. The NPI Number for Peacock Investment Enterprises is 1770886475 and holds a License No. AL10759 (Florida).

The current practice location address for Peacock Investment Enterprises is 458 Nw Marion St, Madison, FL and can be reached out via phone at 850-973-9800 and via fax at 850-973-9600.

Location: 458 Nw Marion St, Madison, FL, 32340-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770886475
Provider Name
Peacock Investment Enterprises
Credential
Provider Entity Type
Organization
Address
458 Nw Marion St, Madison, FL, 32340-1431
Phone Number
850-973-9800
Fax Number
850-973-9600
Provider Enumeration Date
12/19/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142510200 05 FL
689952800 05 FL
689952801 05 FL
institution
Provider Business Practice Location Address Details
Address
458 Nw Marion St
City
Madison
State
Florida
Zip
32340-1431
Phone Number
850-973-9800
Fax Number
850-973-9600
person
Provider Business Mailing Address Details
Address
458 Nw Marion St
City
Madison
State
Florida
Zip
32340-1431
Phone Number
850-973-9800
Fax Number
850-973-9600
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL10295 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL10759 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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