Organization Name: | SERENITY HEALTHCARE, LLC |
NPI Number: | 1538345079 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN EDDINS (DESIGNATED MANAGER) |
Mailing Address: | 620 Francis St Saint Joseph |
State: | MO US |
Postal Code: | 645011928 |
Phone Number: | 8169010262 |
Fax Number: | 8162790499 |
NPI Enumeration Date: | 01/15/2008 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |