Organization
SERENITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEDA P. DIKEMAN (ADMINISTRATOR)
(503) 740-2212
Entity
Organization
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 520-9400
(503) 520-9401
Mailing address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 520-9400
(503) 520-9401
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2301
OR
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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