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General NPI Number Information
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NPI Number | 1306024450
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Entity Type | Organization
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Legal Business Name | SERENITY HOME CARE, INC.
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 2819 WOODCLIFFE ST SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5143
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Country | US
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Telephone | 210-340-0411
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Fax | 210-340-0424
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Provider Business Mailing Address
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Address Line | 2819 WOODCLIFFE ST SUITE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78230-5143
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Country | US
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Telephone | 210-340-0411
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Fax | 210-340-0424
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM SCOTT KATZ
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Credential | LVN
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Telephone | 210-340-0411
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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 | 009535
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License Number State | TX
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