Organization Name: | SERENITY HOME HOSPICE LLC |
NPI Number: | 1154791853 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NDEYE CEESAY (CEO) |
Mailing Address: | 9270 Olive Blvd Ste B Olivette |
State: | MO US |
Postal Code: | 631323204 |
Phone Number: | 3149250119 |
Fax Number: | 6364440307 |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
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: |