Provider Demographics
NPI:1013441062
Name:SERENITY HOME INFUSION SOLUTIONS INC
Entity Type:Organization
Organization Name:SERENITY HOME INFUSION SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LANETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KEETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-504-3616
Mailing Address - Street 1:508 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2702
Mailing Address - Country:US
Mailing Address - Phone:856-504-3616
Mailing Address - Fax:856-344-7984
Practice Address - Street 1:508 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:SUITE 16
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2702
Practice Address - Country:US
Practice Address - Phone:856-504-3616
Practice Address - Fax:856-344-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion