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Organization
SERENITY LIFE HEALTHCARE
Active
Organization
SERENITY LIFE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI WILLIAMS (MANAGING DIRECTOR)
(888) 801-1115
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE STE 417, MARIETTA, GA 30067-8625
(888) 801-1115
(678) 653-9603
Mailing address
2470 WINDY HILL RD SE STE 417, MARIETTA, GA 30067-8625
(888) 801-1115
(678) 653-9603
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332U00000X
Home Delivered Meals
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003253807A
—
GA
Enumeration date
12/01/2017
Last updated
04/19/2022
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