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General NPI Number Information
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NPI Number | 1033795844
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Entity Type | Organization
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Legal Business Name | SERENE HOME HEALTH, LLC
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 331 W LIBERTY ST
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City | SPRINGFIELD
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State | OH
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Zip | 45506-2131
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Country | US
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Telephone | 937-244-9548
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Fax |
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Provider Business Mailing Address
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Address Line | 8584 WASHINGTON ST STE 2007
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5305
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Country | US
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Telephone | 937-244-9548
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | EUGENIA DIONNE OWENS
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Credential |
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Telephone | 937-244-9548
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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 |
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License Number State |
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