Organization
SERENITY SQUARE LLC
Active
Other names
Ageless Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A CAILLIER (MANAGER)
(337) 266-5892
Entity
Organization
Contact information
Practice address
1353 SURREY ST, LAFAYETTE, LA 70501-7617
(337) 266-5892
Mailing address
1353 SURREY ST, LAFAYETTE, LA 70501-7617
(337) 266-5892
(337) 266-5893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013781
—
LA
Enumeration date
12/14/2007
Last updated
06/03/2025
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