Healthcare Provider Details

I. General information

NPI: 1023429024
Provider Name (Legal Business Name): SERENITY DAY SPAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 S CANTON CENTER RD
CANTON MI
48188-2489
US

IV. Provider business mailing address

4101 S CANTON CENTER RD
CANTON MI
48188-2489
US

V. Phone/Fax

Practice location:
  • Phone: 734-397-6115
  • Fax: 734-397-6116
Mailing address:
  • Phone: 734-397-6115
  • Fax: 734-397-6116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name: NANCY WILLIAMS
Title or Position: MANAGER
Credential:
Phone: 734-397-6115