Organization
SERENITY RG SERVICES. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA I PEREZ RBT / CNA / HHA (PRESIDENT)
(305) 640-5739
Entity
Organization
Contact information
Practice address
7065 W 10TH AVE, HIALEAH, FL 33014-5205
(305) 640-5739
(305) 640-5698
Mailing address
6447 MIAMI LAKES DR STE 206, MIAMI LAKES, FL 33014-2762
(305) 640-5739
(305) 640-5698
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020106000
—
FL
05
—
13606800
—
FL
05
—
15694200
—
FL
Enumeration date
06/24/2015
Last updated
12/02/2021
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