# SOUTHERN SERENITY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN SERENITY HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487322426
- **Authorized official:** SHAQUIRAH SCREEN (OWNER)
- **Authorized official phone:** (229) 205-5032

## Contact information

- **Practice address:** 830 SPRING CREEK RD \# C, BAINBRIDGE, GA 39817-3554
- **Practice address phone:** (229) 205-5032
- **Mailing address:** 925 S WEST ST, BAINBRIDGE, GA 39819-4519
- **Mailing address phone:** (229) 205-5032
- **Mailing address fax:** (229) 246-7564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/01/2022