Organization
SERENITY PALLIATIVE AND HOSPICE CARE OF VALDOSTA, INC.
Active
Other names
Serenity Palliative and Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN ASH MSW (CEO)
(770) 790-4146
Entity
Organization
Contact information
Practice address
1205 BAYTREE RD, SUITE 5, VALDOSTA, GA 31602-2782
(229) 241-8338
(229) 241-8353
Mailing address
1205 BAYTREE RD, SUITE 5, VALDOSTA, GA 31602-2782
(229) 241-8338
(229) 241-8353
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18063
STATE LICENSE
GA
Enumeration date
06/15/2007
Last updated
05/02/2012
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