NPI 1215315528

Serenityhomecare

Organisation Adult Care Home Facility Clinton, MS

Practice location

Address: 1512 Clinton Raymond Rd, Clinton, MS 39056-5400
Phone: (601) 942-9401

Authorised official

Name: Shaunena Irene Staple
Title: Pca
Phone: (601) 942-9401

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence DOMO5355 (MS)

Other Custodial Care Facility providers in Mississippi →

Registry record

NPI: 1215315528
Entity type: Organization
NPI issued: 7 May 2015
Record last updated: 7 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.