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NPI Code Detail

MEDICARE: SERENITY SENIOR SERVICES

MEDICARE: SERENITY SENIOR SERVICES
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1588844732
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY SENIOR SERVICES
Provider Business Mailing Address
First Line : 1029 S VICTORY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77088-7948
Country : US
Telephone Number : 832-338-0690
Fax Number :
Provider Business Practice Location Address
First Line : 1029 S VICTORY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77088-7948
Country : US
Telephone Number : 832-338-0690
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : MRS. ROCHELL WILLIAMS
Credential :
Telephone Number : 832-338-0690
Provider Enumeration Date : 11/05/2007
Last Update Date : 11/12/2007

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Directions to “SERENITY SENIOR SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.