Provider Demographics
NPI:1164811451
Name:SERENITY HEALTH CARE STAFFING
Entity Type:Organization
Organization Name:SERENITY HEALTH CARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPURLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-303-1014
Mailing Address - Street 1:PO BOX 841797
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0023
Mailing Address - Country:US
Mailing Address - Phone:225-303-1014
Mailing Address - Fax:
Practice Address - Street 1:1208 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3508
Practice Address - Country:US
Practice Address - Phone:225-303-1014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care