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General NPI Number Information
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NPI Number | 1659810380
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Entity Type | Organization
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Legal Business Name | SERENITY CARE RESOURCES LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 100 E CHESTER PIKE
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City | RIDLEY PARK
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State | PA
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Zip | 19078-1703
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Country | US
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Telephone | 267-233-6008
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Fax | 888-897-6346
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Provider Business Mailing Address
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Address Line | 100 E CHESTER PIKE
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City | RIDLEY PARK
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State | PA
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Zip | 19078-1703
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Country | US
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Telephone | 267-233-6008
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Fax | 888-897-6346
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTOPHER WILLIAMS
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Credential |
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Telephone | 267-233-6008
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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 | 31383601
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License Number State | PA
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