MEDICARE: SERENE HOSPICE INCORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1376842849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENE HOSPICE INCORPORATION

Provider Business Mailing Address
First Line	:	7610 AUBURN BLVD
Second Line	:	SUITE 8
City	:	CITRUS HTS
State	:	CA
Zip	:	95610-2200
Country	:	US
Telephone Number	:	323-828-5658
Fax Number	:

Provider Business Practice Location Address
First Line	:	7610 AUBURN BLVD
Second Line	:	SUITE 8
City	:	CITRUS HTS
State	:	CA
Zip	:	95610-2200
Country	:	US
Telephone Number	:	323-828-5658
Fax Number	:

Authorized Official
Title or Position	:	CONTACT PERSON
Name	:	MS. CARMEN CORDERO
Credential	:
Telephone Number	:	323-828-5658

Provider Enumeration Date	:	03/22/2011
Last Update Date	:	03/22/2011

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Directions to “SERENE HOSPICE INCORPORATION ” Practice Location

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