| Organization Name: | SERENITY HOSPICECARE |
| NPI Number: | 1053316091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED MCDANIEL (EXECUTIVE DIRECTOR) |
| Mailing Address: | 5272 Flat River Rd Mineral Area College Park Hills |
| State: | MO US |
| Postal Code: | 636011000 |
| Phone Number: | 5734310162 |
| Fax Number: | 5734316304 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |