Organization
J & M SERENE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE BROWN (CEO)
(478) 244-9390
Entity
Organization
Contact information
Practice address
902 JUNE DR, MONTEZUMA, GA 31063-1021
(478) 244-9390
Mailing address
902 JUNE DR, MONTEZUMA, GA 31063-1021
(478) 244-9390
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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