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Organization

SERENITY'S CORNER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANEL LOCKMAN LPN (OWNER)
(309) 826-0802
Entity
Organization

Contact information

Practice address
229 CROSSING DR, NORMAL, IL 61761-4782
(130) 982-6080
Mailing address
3309 ROBBINS RD, SPRINGFIELD, IL 62704-6587
(130) 982-6080

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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Product
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