Organization
A PEACE OF SERENITY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALAYSIA SHANAE ALLEN CERTIFIED HHA (OWNER)
(920) 905-5307
Entity
Organization
Contact information
Practice address
1916 WESTERN AVE, MANITOWOC, WI 54220-3838
(920) 374-4556
(920) 214-1038
Mailing address
333 WEST BROWN DEER UNIT G, MANITOWOC, WI 54220
(920) 663-4278
(920) 214-1038
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881291417
DEPARTMENT OF HUMAN AND HEALTH SERVICES
WI
Enumeration date
12/06/2021
Last updated
12/06/2021
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