| Organization Name: | SERENITY PALLIATIVE AND HOSPICE CARE |
| NPI Number: | 1649342536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORNA FAKHRABADI (CEO) |
| Mailing Address: | 1475 Klondike Rd Sw Ste 100 Conyers |
| State: | GA US |
| Postal Code: | 300945174 |
| Phone Number: | 6784132222 |
| Fax Number: | 6784132221 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 01/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 033-0248H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |