Provider Demographics
NPI:1497951628
Name:SERENITY PALLIATIVE AND HOSPICE CARE OF SAVANNAH, INC.
Entity Type:Organization
Organization Name:SERENITY PALLIATIVE AND HOSPICE CARE OF SAVANNAH, INC.
Other - Org Name:SERENITY PALLIATIVE AND HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SOUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADII
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:404-797-5633
Mailing Address - Street 1:6409 ABERCORN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6409 ABERCORN ST
Practice Address - Street 2:SUITE F
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5715
Practice Address - Country:US
Practice Address - Phone:912-356-3365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based