Organization
SERENITY SHELTERING ARMS PCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET JEAN WADE (OWNER/CEO)
(678) 789-7655
Entity
Organization
Contact information
Practice address
4750 TARA CREEK TRL, ELLENWOOD, GA 30294-2025
(404) 241-5251
(404) 241-5349
Mailing address
4750 TARA CREEK TRL, ELLENWOOD, GA 30294-2025
(404) 241-5251
(404) 241-5349
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
044-01-733-1
GA
251G00000X
Community Based Hospice Care Agency
044-01-897-9
GA
251G00000X
Community Based Hospice Care Agency
044-01-917-9
GA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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