| Organization Name: | SERENITY HOSPICE LLC |
| NPI Number: | 1003098856 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER L. GO (ADMINISTRATOR) |
| Mailing Address: | 777 E Tahquitz Canyon Way Suite 301-308 Palm Springs |
| State: | CA US |
| Postal Code: | 922626784 |
| Phone Number: | 7603258718 |
| Fax Number: | 7603258739 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |