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General NPI Number Information
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NPI Number | 1174130876
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Entity Type | Organization
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Legal Business Name | SERENITY GLOBAL ENTERPRISE LLC
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Dates
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Enumeration Date | 09/26/2020
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Last Update Date | 01/28/2023
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Provider Practice Location Address
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Address Line | 1246 MOUNTAIN LAKE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1510
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Country | US
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Telephone | 888-212-3211
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Fax | 281-941-8786
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Provider Business Mailing Address
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Address Line | 1246 MOUNTAIN LAKE DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1510
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Country | US
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Telephone | 888-212-3211
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Fax | 281-941-8786
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JASMIN WILLIAMS
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Credential | ADMINISTRATOR
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Telephone | 888-212-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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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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