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Organization
SERENITY INNOVATIVE CARE AGENCY
Active
Organization
SERENITY INNOVATIVE CARE AGENCY
Active
Other names
serenity innovative care agency
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JEANIA ROACH (ADMINSTRATOR)
(901) 603-7741
Entity
Organization
Contact information
Practice address
3108 N PARHAM RD STE 602A, HENRICO, VA 23294-4417
(804) 250-9426
(804) 446-5915
Mailing address
305 S WASHINGTON HWY STE G7, ASHLAND, VA 23005-2257
(804) 250-9426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
01/22/2024
Last updated
04/07/2025
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