Provider Demographics
NPI:1861009359
Name:A SERENE SERVICES LLC
Entity Type:Organization
Organization Name:A SERENE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-235-5769
Mailing Address - Street 1:8553 ARGYLE BUSINESS LOOP STE 5E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6604
Mailing Address - Country:US
Mailing Address - Phone:904-446-8740
Mailing Address - Fax:
Practice Address - Street 1:8553 ARGYLE BUSINESS LOOP STE 5E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-6604
Practice Address - Country:US
Practice Address - Phone:904-446-8740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health