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General NPI Number Information
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NPI Number | 1477197564
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Entity Type | Organization
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Legal Business Name | SERENITY CARE HEALTH CORPORATION
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 851 4TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-1201
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Country | US
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Telephone | 213-478-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 515 S FLOWER ST FL 18
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City | LOS ANGELES
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State | CA
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Zip | 90071-2201
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Country | US
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Telephone | 562-478-4107
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Fax | 213-260-8577
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Authorized Official
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Title or Position | EXECUTIVE OPERATIONS
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Name | ARLENE MEDINA
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Credential |
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Telephone | 562-478-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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