Organization
SERENITY HOSPICE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINONA SUZANNE SHORT RN, MSN (PRESIDENT/CEO)
(318) 664-0082
Entity
Organization
Contact information
Practice address
72 KING RICHARD RD, DRY PRONG, LA 71423-8705
(318) 664-0082
Mailing address
72 KING RICHARD RD, DRY PRONG, LA 71423-8705
(318) 664-0082
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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