Organization
SERENITY ELDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONETTE GRAY (GEN PARTNER/ADMINISTRATOR)
(801) 781-9183
Entity
Organization
Contact information
Practice address
3990 S HOWICK ST UNIT A111, MILLCREEK, UT 84107-3202
(801) 781-9183
Mailing address
PO BOX 65996, SALT LAKE CITY, UT 84165-0996
(801) 781-9183
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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