Organization
SERENITY'S BABY SPA
Active
Organization
SERENITY'S BABY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDENIA MONTEILH RN, LMT (CEO/FOUNDER)
(918) 378-9751
Entity
Organization
Contact information
Practice address
4105 S REDBUD AVE, BROKEN ARROW, OK 74011-1637
(918) 378-9751
Mailing address
4105 S REDBUD AVE, BROKEN ARROW, OK 74011-1637
(918) 378-9751
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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