NPI | 1851049431 |
---|---|
Doing Business As | SOUTHERN SERENITY WELLNESS |
Entity Type | Organization |
Authorized Contact | SHAQUIRAH SCREEN Owner 229-205-5032 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-03-14 |
Last Update Date | 2022-09-01 |