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General NPI Number Information
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NPI Number | 1164847828
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Entity Type | Organization
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Legal Business Name | SERENITY HOME PROVIDERS INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 2616 S LOOP W STE 555
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 713-585-1377
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Fax | 713-955-0839
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Provider Business Mailing Address
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Address Line | 2616 S LOOP W STE 555
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City | HOUSTON
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State | TX
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Zip | 77054-2662
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Country | US
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Telephone | 713-585-1377
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Fax | 713-955-0839
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY M TURNER
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Credential |
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Telephone | 713-585-1377
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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 | 0000000
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License Number State | TX
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