| NPI | 1861591687 |
|---|---|
| Doing Business As | SERENITY PHYSICIAN |
| Entity Type | Organization |
| Authorized Contact | NICOLE SIMMS Manager 313-320-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |