Organization
SERENITY SPRINGS PERSONAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA MOZELLE LOVETT RN (CEO/ADMINISTRATOR)
(912) 587-3549
Entity
Organization
Contact information
Practice address
4838 MILL CREEK RD, STATESBORO, GA 30461-7716
(912) 587-3549
(912) 587-9597
Mailing address
4838 MILL CREEK RD, STATESBORO, GA 30461-7716
(912) 587-3549
(912) 587-9597
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
016010511
GA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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