| Organization Name: | SERENITY ACRES HOSPICE AND PALLIATIVE CARE SERVICES, INC |
| NPI Number: | 1851726236 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THEODORE A MOGOL (PRESIDENT/COO) |
| Mailing Address: | 1555 E University Dr Suite 3 Mesa |
| State: | AZ US |
| Postal Code: | 852038143 |
| Phone Number: | 4802137898 |
| Fax Number: | 4802032293 |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/04/2013 |
| 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: | |