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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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