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General NPI Number Information
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NPI Number | 1033779376
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Entity Type | Organization
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Legal Business Name | SERENITY HOME CARE & COMPANION, LLC
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 25660 SW 133RD AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-6802
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Country | US
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Telephone | 786-275-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 13500 SW 250TH ST UNIT 4137
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City | HOMESTEAD
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State | FL
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Zip | 33092-0879
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Country | US
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Telephone | 786-275-3355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANELL M THOMAS
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Credential |
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Telephone | 786-275-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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