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General NPI Number Information
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NPI Number | 1023358215
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Entity Type | Organization
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Legal Business Name | SERENITY HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 5618 STATE ROUTE 7
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City | ANDOVER
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State | OH
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Zip | 44003-9776
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Country | US
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Telephone | 440-689-0698
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Fax | 440-689-0697
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Provider Business Mailing Address
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Address Line | 5618 STATE ROUTE 7
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City | ANDOVER
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State | OH
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Zip | 44003-9776
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Country | US
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Telephone | 440-689-0698
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Fax | 440-689-0697
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. AMANDA FARMER
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Credential | R.N.
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Telephone | 440-855-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2164240
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License Number State | OH
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