Organization Name: | SERENITY PRIMARY HOME CARE |
NPI Number: | 1972897981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERMAN GONZALEZ (OWNER) |
Mailing Address: | 1921 E Harrison Ave Harlingen |
State: | TX US |
Postal Code: | 785507311 |
Phone Number: | 9567931967 |
Fax Number: | 9564252803 |
NPI Enumeration Date: | 06/07/2011 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |