Healthcare Provider Details

I. General information

NPI: 1871276287
Provider Name (Legal Business Name): SERENE TOUCH HEALTH SERVICES AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5378 ELIOTS OAK RD
COLUMBIA MD
21044-1930
US

IV. Provider business mailing address

5378 ELIOTS OAK RD
COLUMBIA MD
21044-1930
US

V. Phone/Fax

Practice location:
  • Phone: 443-454-8334
  • Fax:
Mailing address:
  • Phone: 443-454-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAKENDRA PARKER
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-454-8334