Organization
SERENITY PHYSICIAN
Active
Other names
Serenity Physician
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SIMMS (MANAGER)
(313) 320-5356
Entity
Organization
Contact information
Practice address
1009 DREXEL ST, DEARBORN, MI 48128-1639
(313) 429-3164
(313) 429-3165
Mailing address
1009 DREXEL ST, DEARBORN, MI 48128-1639
(313) 429-3164
(313) 429-3165
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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