Provider Demographics
NPI:1699363952
Name:SEREN MEDICAL SUPPLIES & EQUIPMENT LLC
Entity Type:Organization
Organization Name:SEREN MEDICAL SUPPLIES & EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-352-5181
Mailing Address - Street 1:9589 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-5566
Mailing Address - Country:US
Mailing Address - Phone:571-352-5181
Mailing Address - Fax:
Practice Address - Street 1:9589 CENTER ST
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5566
Practice Address - Country:US
Practice Address - Phone:571-352-5181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies