Provider Demographics
NPI:1699108704
Name:SERENITY HOME HEALTHCARE
Entity type:Organization
Organization Name:SERENITY HOME HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUENNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-549-5884
Mailing Address - Street 1:PO BOX 15673
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39404-5673
Mailing Address - Country:US
Mailing Address - Phone:601-549-5884
Mailing Address - Fax:
Practice Address - Street 1:38 SHADOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-9768
Practice Address - Country:US
Practice Address - Phone:601-549-5884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based