Provider Demographics
NPI:1255409389
Name:SERENITY3 HOME HEALTH, INC
Entity type:Organization
Organization Name:SERENITY3 HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEMOLA
Authorized Official - Middle Name:OLUSEGUN
Authorized Official - Last Name:OSOFISAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-677-4844
Mailing Address - Street 1:3909 RESEARCH PARK DR STE 600
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2077
Mailing Address - Country:US
Mailing Address - Phone:734-677-4844
Mailing Address - Fax:734-677-3151
Practice Address - Street 1:3909 RESEARCH PARK DR STE 600
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2077
Practice Address - Country:US
Practice Address - Phone:734-677-4844
Practice Address - Fax:734-677-3151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health