Serenity Springs Personal Care Home Inc.

NPI #1164752150 in Statesboro, Georgia

Provider Information

NPI Number
1164752150
Entity Type
Organization
Organization Name
Serenity Springs Personal Care Home Inc.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 13, 2010
Last Updated
Jan 13, 2010

Practice Location

Address
4838 MILL CREEK RD
State
Georgia
ZIP Code
30461-7716
Phone
(912) 587-3549

Authorized Official

Name
MRS. EDNA MOZELLE LOVETT, RN
Title
CEO/ADMINISTRATOR
Phone
(912) 587-3549

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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