# HAYESHUA SERENITY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023892429
- **Authorized official:** MATILDA BOACHIE (OWNER)
- **Authorized official phone:** (860) 967-2388

## Contact information

- **Practice address:** 316 W PINNACLE RIDGE DR, SAN TAN VALLEY, AZ 85140-7047
- **Practice address phone:** (860) 967-2388
- **Mailing address:** 316 W PINNACLE RIDGE DR, SAN TAN VALLEY, AZ 85140-7047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 08/24/2023