Provider Demographics
NPI:1437426947
Name:SERENITY FAMILY SERVICES INC.,
Entity Type:Organization
Organization Name:SERENITY FAMILY SERVICES INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-1500
Mailing Address - Street 1:4060 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-9165
Mailing Address - Country:US
Mailing Address - Phone:561-502-1500
Mailing Address - Fax:
Practice Address - Street 1:4060 ROYAL PALM BEACH BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-9165
Practice Address - Country:US
Practice Address - Phone:561-502-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management