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Organization

SERENITY HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIQUE MCGORDON (OWNER)
(317) 903-3007
Entity
Organization

Contact information

Practice address
4837 OAKBROOK DR, INDIANAPOLIS, IN 46254-1117
(317) 903-3007
(463) 900-1728
Mailing address
4837 OAKBROOK DR, INDIANAPOLIS, IN 46254-1117
(317) 903-3007
(463) 900-1728

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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