| Organization Name: | SERENITY HOSPICE, LLC |
| NPI Number: | 1437199106 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRY J CROCKETT (CHIEF OPERATIONS OFFICER) |
| Mailing Address: | 110 Constitution Avenue Ashdown |
| State: | AR US |
| Postal Code: | 718220000 |
| Phone Number: | 9186336229 |
| Fax Number: | 8662794654 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | AR4246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |