Organization
SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC.
Active
Organization
SERENITY HOUSE ADULT DAY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE RICHARDSON (PRESIDENT)
(601) 833-4166
Entity
Organization
Contact information
Practice address
511 N. CHURCH STREET, BROOKHAVEN, MS 39601-2709
(601) 833-4166
Mailing address
POST OFFICE BOX 1334, BROOKHAVEN, MS 39601
(601) 833-4166
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
887539
MS
261QA0600X
Adult Day Care Clinic/Center
Primary
887539
MS
343900000X
Non-emergency Medical Transport (VAN)
887539
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03680547
—
MS
Enumeration date
12/10/2007
Last updated
12/10/2007
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