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NPI Code Detail

MEDICARE: SERENITY IN-HOME CARE LLC

MEDICARE: SERENITY IN-HOME CARE LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1710113972
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY IN-HOME CARE LLC
Provider Business Mailing Address
First Line : 1287 MARKS CHURCH RD STE D
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-2497
Country : US
Telephone Number : 706-922-0640
Fax Number : 706-922-0640
Provider Business Practice Location Address
First Line : 1287 MARKS CHURCH RD STE D
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-2497
Country : US
Telephone Number : 706-922-0640
Fax Number : 706-922-0640
Authorized Official
Title or Position : OWNER
Name : DIONNE DUNN
Credential :
Telephone Number : 706-922-0640
Provider Enumeration Date : 06/02/2009
Last Update Date : 08/25/2011

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Directions to “SERENITY IN-HOME CARE LLC ” Practice Location

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