Provider Demographics
NPI:1831520956
Name:SERENITY 7 CORPORATION INC.
Entity type:Organization
Organization Name:SERENITY 7 CORPORATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAVORICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-310-2742
Mailing Address - Street 1:1185 HIGHTOWER TRL
Mailing Address - Street 2:SUITE 500571
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31150-3132
Mailing Address - Country:US
Mailing Address - Phone:678-310-2742
Mailing Address - Fax:
Practice Address - Street 1:70 PERIMETER CTR E
Practice Address - Street 2:1409
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-1801
Practice Address - Country:US
Practice Address - Phone:678-310-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-30
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)