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General NPI Number Information
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NPI Number | 1508557430
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Entity Type | Organization
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Legal Business Name | SERENITY HILL HOMES INC
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 207 HICKMAN RD
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City | TABOR CITY
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State | NC
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Zip | 28463-2038
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Country | US
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Telephone | 770-598-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 319 HAMILTON DR
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City | CONYERS
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State | GA
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Zip | 30094-8102
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Country | US
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Telephone | 770-598-3426
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AVONDA COX
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Credential | DIRECTOR
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Telephone | 770-598-3426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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