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Organization
SERENITY HEALTHCARE PROFESSIONALS LLC
Active
Organization
SERENITY HEALTHCARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA WARNER LPN (OWNER)
(708) 983-3453
Entity
Organization
Contact information
Practice address
56 APPLE LN, PARK FOREST, IL 60466-2052
(708) 983-3453
Mailing address
56 APPLE LN, PARK FOREST, IL 60466-2052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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