Organization
SERENITY HOME CARE SPECIALTY ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYA MICHELLE WALLS RN (CHIEF EXECUTIVE OFFICER)
(901) 282-0236
Entity
Organization
Contact information
Practice address
7131 PEPPERMILL LN, MEMPHIS, TN 38125-3441
(901) 282-0236
Mailing address
7131 PEPPERMILL LN, MEMPHIS, TN 38125-3441
(901) 282-0236
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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