Organization
FAIN SERENITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FAIN (OWNER/ PRESIDENT)
(239) 895-4324
Entity
Organization
Contact information
Practice address
2705 62ND ST W, LEHIGH ACRES, FL 33971-5849
(239) 895-4324
Mailing address
2705 62ND ST W, LEHIGH ACRES, FL 33971-5849
(239) 895-4324
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
07/19/2021
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