Organization
SERENITY HOME HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAPRICE MICHELLE WILSON (PRESIDENT/OWNER)
(314) 625-3431
Entity
Organization
Contact information
Practice address
4881 WOODSTOCK AVE, SAINT LOUIS, MO 63136-4752
(314) 395-6991
Mailing address
PO BOX 52256, JENNINGS, MO 63136-8256
(314) 395-6991
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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