Organization
SERENITY EVOLUTION CARE LLC
Active
Parent organization
AFFORDABLE TAXI OF POPE CO LLC
Other names
Serenity Evolution Care LLC, Affordable Taxi of Pope Co LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE TAXI OF POPE CO LLC
Authorized official
ROSE SHADDON (OWNER)
(479) 857-5609
Entity
Organization
Contact information
Practice address
136 JENNINGS RD, RUSSELLVILLE, AR 72802
(479) 880-3449
Mailing address
136 JENNINGS RD, RUSSELLVILLE, AR 72802
(479) 880-3449
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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