Organization
SERENITY REHABILITATION AND THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NISHELLE ANTOINETTE THIMOTE-HERALDO OTR (CEO/MEMBER)
(561) 889-8812
Entity
Organization
Contact information
Practice address
3405 SWEETWATER RD 422, LAWRENCEVILLE, GA 30044-3004
(561) 889-8812
Mailing address
3405 SWEETWATER RD 422, LAWRENCEVILLE, GA 30044-3004
(561) 889-8812
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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