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General NPI Number Information
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NPI Number | 1447695366
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Entity Type | Organization
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Legal Business Name | SERENITY HOME HEALTHCARE AND NURSING SOLUTIONS LLC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 508 HURFFVILLE CROSSKEYS RD STE 16
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 856-344-7982
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Fax | 856-344-7984
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Provider Business Mailing Address
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Address Line | 508 HURFFVILLE CROSSKEYS RD STE 16
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City | SEWELL
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State | NJ
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Zip | 08080-2730
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Country | US
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Telephone | 856-344-7982
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Fax | 856-344-7984
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. LANETTE DENISE KEETON
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Credential |
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Telephone | 856-344-7982
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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 | HP0173000
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License Number State | NJ
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