Organization
SERENITY INNOVATIVE CARE AGENCY
Active
Other names
serenity innovative care agency
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JEANIA ROACH (ADMINSTRATOR)
(901) 603-7741
Entity
Organization
Contact information
Practice address
3108 N PARHAM RD STE 602A, HENRICO, VA 23294-4417
(804) 250-9426
(804) 446-5915
Mailing address
305 S WASHINGTON HWY STE G7, ASHLAND, VA 23005-2257
(804) 250-9426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
01/22/2024
Last updated
04/07/2025
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