Serenity Haven Adult Day Care INC

NPI #1912149626 in Dolton, Illinois

Provider Information

NPI Number
1912149626
Entity Type
Organization
Organization Name
Serenity Haven Adult Day Care INC
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 26, 2009
Last Updated
May 1, 2009

Practice Location

Address
1109 E 156TH ST
City
Dolton
ZIP Code
60419-2777
Phone
(708) 476-3795

Authorized Official

Name
MRS. NIKKITA C JOHNSON- NEEALY
Title
OWNER/NURSE
Phone
(708) 476-3795

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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