Provider Demographics
NPI:1780015321
Name:SERENITY SLEEP CARE, LLC
Entity Type:Organization
Organization Name:SERENITY SLEEP CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-885-4411
Mailing Address - Street 1:9001 WOODYARD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4264
Mailing Address - Country:US
Mailing Address - Phone:410-885-4411
Mailing Address - Fax:410-885-4409
Practice Address - Street 1:9001 WOODYARD RD
Practice Address - Street 2:SUITE C
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4264
Practice Address - Country:US
Practice Address - Phone:410-885-4411
Practice Address - Fax:410-885-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic