| Serenity Ave. Integrative Services LLC | |
|
17330 Northland Park Ct Southfield MI 48075-4318 | |
| (248) 422-1333 | |
| Not Available |
| Full Name | Serenity Ave. Integrative Services LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 17330 Northland Park Ct, Southfield, Michigan |
| Authorized Official Name and Position | Karla Jordan (CEO) |
| Authorized Official Contact | 2484221333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Ave. Integrative Services LLC 29494 Ashland Ave Apt 301 Harrison Township MI 48045-5742 | Serenity Ave. Integrative Services LLC 17330 Northland Park Ct Southfield MI 48075-4318 Ph: (248) 422-1333 |
| NPI Number | 1255930491 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/31/2020 |
| Certification Date | 10/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255930491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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