J & M Serene Care, LLC
Case Management in Montezuma, GA. Organization (NPI-2).
NPI number1083246797
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1083246797
- Entity type
- Organization (NPI-2)
- Legal business name
- J & M Serene Care, LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2020
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
902 June DrMontezuma, GA 31063-1021
Phone 478-244-9390
Mailing address
902 June DrMontezuma, GA 31063-1021
Phone 478-244-9390
Authorized official
Lucille Brown
Ceo
4782449390
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