Healthcare Provider Details

I. General information

NPI: 1588844732
Provider Name (Legal Business Name): SERENITY SENIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 S VICTORY DR
HOUSTON TX
77088-7948
US

IV. Provider business mailing address

1029 S VICTORY DR
HOUSTON TX
77088-7948
US

V. Phone/Fax

Practice location:
  • Phone: 832-338-0690
  • Fax:
Mailing address:
  • Phone: 832-338-0690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROCHELL WILLIAMS
Title or Position: OWNER/MANAGER
Credential:
Phone: 832-338-0690