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General NPI Number Information
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NPI Number | 1215299698
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Entity Type | Organization
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Legal Business Name | SERENITY SPECIAL SERVICES INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3670 CALLE NORTENA
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City | BROWNSVILLE
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State | TX
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Zip | 78526
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Country | US
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Telephone | 956-466-8480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3705
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City | BROWNSVILLE
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State | TX
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Zip | 78523-3705
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Country | US
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Telephone | 956-466-8480
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JEANNETTE MELENDEZ PENA
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Credential |
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Telephone | 956-466-8480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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