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General NPI Number Information
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NPI Number | 1033842117
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Entity Type | Organization
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Legal Business Name | SERENITY IN HOME CARE SERVICES
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 7847 HIGHWAY 613
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City | MOSS POINT
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State | MS
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Zip | 39563-9624
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Country | US
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Telephone | 228-366-4954
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Fax | 228-285-0445
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Provider Business Mailing Address
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Address Line | 7847 HIGHWAY 613
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City | MOSS POINT
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State | MS
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Zip | 39563-9624
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Country | US
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Telephone | 228-366-4954
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Fax | 228-285-0445
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VICKI LYNETTE MCMILLAN
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Credential | N/A
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Telephone | 228-366-4954
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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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