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Organization
SERENITY HOME CARE SPECIALTY ,LLC
Active
Organization
SERENITY HOME CARE SPECIALTY ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYA MICHELLE WALLS RN (CHIEF EXECUTIVE OFFICER)
(901) 282-0236
Entity
Organization
Contact information
Practice address
7131 PEPPERMILL LN, MEMPHIS, TN 38125-3441
(901) 282-0236
Mailing address
7131 PEPPERMILL LN, MEMPHIS, TN 38125-3441
(901) 282-0236
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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