Serenityhomecare
NPI #1215315528 in Clinton, Mississippi
Provider Information
- NPI Number
- 1215315528
- Entity Type
- Organization
- Organization Name
- Serenityhomecare
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 7, 2015
- Last Updated
- May 7, 2015
Practice Location
- Address
- 1512 CLINTON RAYMOND RD
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-5400
- Phone
- (601) 942-9401
Authorized Official
- Name
- MS. SHAUNENA IRENE STAPLE
- Title
- PCA
- Phone
- (601) 942-9401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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