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NPI Code Detail

MEDICARE: SERENITY HEALTH, LLC

MEDICARE: SERENITY HEALTH, 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
1261QM2800XMethadone Clinic904499MD
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750534194
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY HEALTH, LLC
Provider Business Mailing Address
First Line : 2873 TROYER RD
Second Line :
City : WHITE HALL
State : MD
Zip : 21161-9321
Country : US
Telephone Number : 443-504-3018
Fax Number : 410-692-0143
Provider Business Practice Location Address
First Line : 780 W BEL AIR AVE STE B
Second Line :
City : ABERDEEN
State : MD
Zip : 21001-2236
Country : US
Telephone Number : 410-273-1030
Fax Number : 410-273-1040
Authorized Official
Title or Position : MANAGING MEMBER
Name : MS. NANCY J TURNER
Credential : RN
Telephone Number : 443-504-3018
Provider Enumeration Date : 10/29/2008
Last Update Date : 04/19/2018

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Directions to “SERENITY HEALTH, LLC ” Practice Location

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