Organization
SERENITY ONE HOSPICE AND PALLIATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ROSARIO MONTALBAN RN (ADMINISTRATOR)
(708) 268-6835
Entity
Organization
Contact information
Practice address
2200 S MAIN ST STE 212, LOMBARD, IL 60148-5365
(630) 953-2018
(630) 708-6077
Mailing address
2200 S MAIN ST, SUITE 212, LOMBARD, IL 60148-5334
(630) 953-2018
(630) 708-6077
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
041-372191
IL
Other
Enumeration date
03/08/2016
Last updated
05/09/2017
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