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General NPI Number Information
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NPI Number | 1255148367
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Entity Type | Organization
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Legal Business Name | SERENITY HOME SERVICES INC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 2500 W LAYTON AVE STE 220
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City | MILWAUKEE
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State | WI
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Zip | 53221-5400
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Country | US
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Telephone | 773-457-3646
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Fax | 608-465-4014
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Provider Business Mailing Address
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Address Line | 2500 W LAYTON AVE STE 220
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City | MILWAUKEE
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State | WI
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Zip | 53221-5400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | AYOWALE ALAO
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Credential |
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Telephone | 312-719-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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