Provider Demographics
NPI:1518208263
Name:SERENITY HEALTHCARE STAFFING
Entity Type:Organization
Organization Name:SERENITY HEALTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:267-325-2693
Mailing Address - Street 1:224 BLUNSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3708
Mailing Address - Country:US
Mailing Address - Phone:267-325-2693
Mailing Address - Fax:215-397-4621
Practice Address - Street 1:224 BLUNSTON AVE
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3708
Practice Address - Country:US
Practice Address - Phone:267-325-2693
Practice Address - Fax:215-397-4621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSOLIDATED GROUP OF COMPANIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health