Organization
SERENITY HOME HEALTH L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK LEE ROBERTS I (PRESIDENT/CEO)
(612) 388-3889
Entity
Organization
Contact information
Practice address
102 W DIAMOND LAKE RD APT 224, MINNEAPOLIS, MN 55419-1875
(612) 388-3889
Mailing address
102 W DIAMOND LAKE RD APT 224, MINNEAPOLIS, MN 55419-1875
(612) 388-3889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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