# SERENITY PHYSICIANS

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

## Provider details

- **NPI number:** 1295758159
- **Authorized official:** MS. RITA D ROGERS (MANAGER)
- **Authorized official phone:** 31342393164

## Contact information

- **Practice address:** 1009 DREXEL ST, DEARBORN, MI 48128-1639
- **Practice address phone:** (313) 429-3164
- **Mailing address:** 1009 DREXEL ST, DEARBORN, MI 48128-1639
- **Mailing address phone:** (313) 429-6164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 4301028439 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020