Organization
SERENE ADULT CARE
Active
Organization
SERENE ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROL ALMEDIA WATTS (PERSONAL CARE ATTENDANT)
(601) 336-2182
Entity
Organization
Contact information
Practice address
261 H.R. WATTS RD, SUMRALL, MS 39482
(601) 336-2182
(858) 736-2182
Mailing address
P.O BOX 684, SUMRALL, MS 39482
(601) 336-2182
(858) 736-2182
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
A038080
MS
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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