Provider Demographics
NPI:1487195343
Name:SERENITY HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:SERENITY HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO RN
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-339-7062
Mailing Address - Street 1:1827 MICKIE ANN WAY
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-8931
Mailing Address - Country:US
Mailing Address - Phone:706-339-7062
Mailing Address - Fax:706-798-4624
Practice Address - Street 1:1827 MICKIE ANN WAY
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-8931
Practice Address - Country:US
Practice Address - Phone:706-339-7062
Practice Address - Fax:706-798-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-12
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC237985251J00000X
GARN159446251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care