Provider Demographics
NPI:1487436234
Name:SERENITY ADULT DAY & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:SERENITY ADULT DAY & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-221-1114
Mailing Address - Street 1:5050 WARM SPRINGS RD BLDG 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-6953
Mailing Address - Country:US
Mailing Address - Phone:706-221-1114
Mailing Address - Fax:706-221-1102
Practice Address - Street 1:5050 WARM SPRINGS RD BLDG 3
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-6953
Practice Address - Country:US
Practice Address - Phone:706-221-1114
Practice Address - Fax:706-221-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care