Organization
SERENITY HOME MEDICAL, LLC
Active
Organization
SERENITY HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL M MALIK (MEMBER/ MANAGER)
(574) 296-6556
Entity
Organization
Contact information
Practice address
14500 STATE ROAD 23 STE 6, GRANGER, IN 46530-5632
(574) 327-2357
(574) 235-6991
Mailing address
1710 LEER DR STE A, ELKHART, IN 46514-5446
(574) 327-2357
(574) 235-6991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/06/2022
Last updated
05/29/2023
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