Provider Demographics
NPI:1033842117
Name:SERENITY IN HOME CARE SERVICES
Entity Type:Organization
Organization Name:SERENITY IN HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:228-366-4954
Mailing Address - Street 1:7847 HIGHWAY 613
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39563-9624
Mailing Address - Country:US
Mailing Address - Phone:228-366-4954
Mailing Address - Fax:228-285-0445
Practice Address - Street 1:7847 HIGHWAY 613
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39563-9624
Practice Address - Country:US
Practice Address - Phone:228-366-4954
Practice Address - Fax:228-285-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health