MEDICARE: SERENITY PALLIATIVE AND HOSPICE CARE OF SAVANNAH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1497951628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY PALLIATIVE AND HOSPICE CARE OF SAVANNAH, INC.

Provider Business Mailing Address
First Line	:	6409 ABERCORN ST
Second Line	:	SUITE F
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6409 ABERCORN ST
Second Line	:	SUITE F
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5715
Country	:	US
Telephone Number	:	912-356-3365
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	SOUSAN BADII
Credential	:	MBA
Telephone Number	:	404-797-5633

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	08/22/2020

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