Organization
SERENITY HOSPICECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED MCDANIEL (EXECUTIVE DIRECTOR)
(573) 431-0162
Entity
Organization
Contact information
Practice address
5272 FLAT RIVER RD, MINERAL AREA COLLEGE, PARK HILLS, MO 63601-1000
(573) 431-0162
(573) 431-6304
Mailing address
PO BOX 1000, 5272 FLAT RIVER RD MINERAL AREA COLLEGE, PARK HILLS, MO 63601-1000
(573) 431-0162
(573) 431-6304
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827876400
—
MO
Enumeration date
06/16/2005
Last updated
03/23/2011
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