Mi Serenity
NPI #1164603072 in Rolla, Missouri
Provider Information
- NPI Number
- 1164603072
- Entity Type
- Organization
- Organization Name
- Mi Serenity
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 19, 2007
- Last Updated
- Nov 19, 2007
Practice Location
Authorized Official
- Name
- MR. TEDDY EUGENE RUTH
- Title
- CEO
- Phone
- (573) 368-4899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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