Organization
SERENITY PALLIATIVE CARE LLC
Active
Other names
Canyon Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NORRIS (MANAGING PARTNER)
(801) 485-6166
Entity
Organization
Contact information
Practice address
7878 N 16TH ST STE 155, PHOENIX, AZ 85020-4470
(602) 314-6246
(602) 443-5398
Mailing address
450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
(801) 485-6166
(801) 531-1949
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
07/08/2020
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