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NPI 1649032699

NPI 1649032699 : SERENE CARE SOLUTIONS LLC : NUEVO, CA

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General NPI Number Information
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    NPI Number           |    1649032699
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERENE CARE SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    01/25/2024
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    32015 CONTOUR AVE 
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    City                 |    NUEVO
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    State                |    CA
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    Zip                  |    92567-9730
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    Country              |    US
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    Telephone            |    951-578-7950
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    32015 CONTOUR AVE 
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    City                 |    NUEVO
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    State                |    CA
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    Zip                  |    92567-9730
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    Country              |    US
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    Telephone            |    951-578-7950
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LORRAINE  HEATH 
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    Credential           |    BS, MPHIL, MA
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    Telephone            |    951-578-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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