| Organization Name: | SERENITY PALLIATIVE AND HOSPICE CARE OF VALDOSTA, INC. |
| NPI Number: | 1104021609 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IAN ASH (CEO) |
| Mailing Address: | 1205 Baytree Rd Suite 5 Valdosta |
| State: | GA US |
| Postal Code: | 316022782 |
| Phone Number: | 2292418338 |
| Fax Number: | 2292418353 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 05/02/2012 |
| 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: | |