Serenity Rg Services. Inc. | |
7065 W 10th Ave Hialeah FL 33014-5205 | |
(305) 640-5739 | |
(305) 640-5698 |
Full Name | Serenity Rg Services. Inc. |
---|---|
Speciality | In Home Supportive Care |
Location | 7065 W 10th Ave, Hialeah, Florida |
Authorized Official Name and Position | Rosa I Perez (PRESIDENT) |
Authorized Official Contact | 3056405739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Rg Services. Inc. 6447 Miami Lakes Dr Ste 206 Miami Lakes FL 33014-2762 Ph: (305) 640-5739 | Serenity Rg Services. Inc. 7065 W 10th Ave Hialeah FL 33014-5205 Ph: (305) 640-5739 |
NPI Number | 1336521418 |
---|---|
Provider Enumeration Date | 06/24/2015 |
Last Update Date | 12/02/2021 |
Certification Date | 12/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336521418 | NPI | - | NPPES |
15694200 | Medicaid | FL | |
020106000 | Medicaid | FL | |
13606800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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