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General NPI Number Information
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NPI Number | 1750433025
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Entity Type | Organization
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Legal Business Name | SERENITY HOSPICE SERVICES LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 3445 N CAUSEWAY BLVD STE 901
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City | METAIRIE
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State | LA
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Zip | 70002-3768
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Country | US
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Telephone | 504-366-3996
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Fax | 504-366-7269
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Provider Business Mailing Address
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Address Line | 3445 N CAUSEWAY BLVD STE 901
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City | METAIRIE
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State | LA
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Zip | 70002-3768
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Country | US
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Telephone | 504-366-3996
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Fax | 504-366-7269
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DAVID JOSEPH MARTIN
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Credential |
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Telephone | 504-491-4988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 136
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License Number State | LA
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