# SERENE VILLAGE HOME CARE LLC

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

## Provider details

- **NPI number:** 1598528689
- **Authorized official:** MRS. TERIA KAI CORBIN (CEO)
- **Authorized official phone:** (678) 557-6174

## Contact information

- **Practice address:** 579 SIMONTON OAK LN, LAWRENCEVILLE, GA 30045-3525
- **Practice address phone:** (678) 557-6174
- **Mailing address:** 579 SIMONTON OAK LN, LAWRENCEVILLE, GA 30045-3525
- **Mailing address phone:** (678) 557-6174

## Taxonomy

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

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024