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Organization
SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC
Active
Organization
SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC
Active
Other names
Serene Wings Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BUSTOS RN (CEO/DIRECTOR OF CLINICAL SERVICES)
(346) 412-9168
Entity
Organization
Contact information
Practice address
3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
(346) 412-9168
Mailing address
3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
(346) 412-9168
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053811836
—
TX
Enumeration date
02/11/2025
Last updated
03/07/2025
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