Organization
SERENITY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA ROCHELLE WHITE (DESIGNATED MANAGER)
(314) 359-5542
Entity
Organization
Contact information
Practice address
11130 MICHELHAM DR, STE. K, SAINT LOUIS, MO 63136-6404
(314) 359-5542
Mailing address
11130 MICHELHAM DR, STE. K, SAINT LOUIS, MO 63136-6404
(314) 359-5542
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1314718
MO
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
05/30/2013
Last updated
06/12/2013
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