SERENITY ADULT DAY HEALTH, INC. 2


Address: 105 Westcliff Blvd, Warner Robins, GA 31093-3019
Phone: 4783025772

SERENITY ADULT DAY HEALTH, INC. 2 (NPI# 1265832778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265832778
Entity Type Organization
Organization Name SERENITY ADULT DAY HEALTH, INC. 2
Practice Address 105 Westcliff Blvd
Warner Robins
GA 31093-3019
Mailing Address Po Box 947
Perry
GA 31069-0947
Practice Telephone 4783025772
Practice Fax Number 4783025773
Mailing Telephone 4783025772
Mailing Fax Number 4783025773
Enumeration Date 2014-09-03
Last Update Date 2014-09-03
Authorized Official Name MR. JAMES N PETTIS (PRESIDENT)
Authorized Official Telephone 4787140246
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care GA Respite Care Facility

Office Location

Street Address 105 WESTCLIFF BLVD
City WARNER ROBINS
State GA
Zip Code 31093-3019

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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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1326599887 Corey Young Respite Care 1270 Caroline St Ne Ste D120, 225, Atlanta, GA 30307-2758 2016-10-20
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Competitor

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City WARNER ROBINS
Zip Code 31093

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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