PEACE & GLORY MANOR, INC

Clinical Medical Laboratory

Code: 291U00000X

Preferred Provider Organization

Code: 305R00000X

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

Durable Medical Equipment & Medical Supplies — Customized Equipment

Code: 332BC3200X

Durable Medical Equipment & Medical Supplies — Nursing Facility Supplies

Code: 332BN1400X

Durable Medical Equipment & Medical Supplies — Parenteral & Enteral Nutrition

Code: 332BP3500X

Hearing Aid Equipment

Code: 332S00000X

Secured Medical Transport (VAN)

Code: 343800000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Private Vehicle

Code: 347C00000X