Provider Demographics
NPI:1487916474
Name:SERENE STAFFING SERVICES LLC
Entity type:Organization
Organization Name:SERENE STAFFING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-523-0161
Mailing Address - Street 1:27125 ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-7904
Mailing Address - Country:US
Mailing Address - Phone:313-523-0161
Mailing Address - Fax:313-332-0652
Practice Address - Street 1:27125 ANTONIO DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-7904
Practice Address - Country:US
Practice Address - Phone:313-523-0161
Practice Address - Fax:313-332-0652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health