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General NPI Number Information
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NPI Number | 1487445276
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Entity Type | Organization
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Legal Business Name | SERENITY SUPPORTED LIVING LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 400 W CAPITOL AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3436
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Country | US
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Telephone | 314-225-8335
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Fax |
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Provider Business Mailing Address
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Address Line | 9497 COUNTY ROAD 151
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City | PRICE PLACE
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State | AR
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Zip | 72661-8813
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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
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Name | IESHA POWELL
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Credential |
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Telephone | 314-225-8335
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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 |
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License Number State |
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