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General NPI Number Information
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NPI Number | 1821412610
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Entity Type | Organization
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Legal Business Name | SERENITY HOME HEALTH CARE SOLUTIONS
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 40 MECHANIC ST SUITE 309
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4425
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Country | US
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Telephone | 508-460-1407
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Fax | 508-460-0797
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Provider Business Mailing Address
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Address Line | 40 MECHANIC ST SUITE 309
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4425
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Country | US
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Telephone | 508-460-1407
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Fax | 508-460-0797
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANGELLA V CREECH
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Credential |
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Telephone | 978-875-4686
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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 | 001121804
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License Number State | MA
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