Organization
SERENDIVINE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COCO LAVETTE RIDEOUT RN (CEO)
(254) 551-6968
Entity
Organization
Contact information
Practice address
3716 RUSACK DR, KILLEEN, TX 76542-6443
(254) 551-6968
Mailing address
3716 RUSACK DR, KILLEEN, TX 76542-6443
(254) 551-6968
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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