| Organization Name: | SERENITY HOLISTIC HOSPICE SERVICES OF ANACONDA, LLC |
| NPI Number: | 1104142959 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEANNA LEE BLOTKAMP (ADMINISTRATOR) |
| Mailing Address: | 903 W 3rd St Anaconda |
| State: | MT US |
| Postal Code: | 597112001 |
| Phone Number: | 4065633017 |
| Fax Number: | 4065633017 |
| NPI Enumeration Date: | 04/18/2010 |
| NPI Last Update Date: | 05/13/2010 |
| 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: | |