| Serenity Care And Life Skills Services Llc | |
|
610 Ne Horizon Dr Apt 108 Waukee IA 50263-8023 | |
| (515) 745-5069 | |
| Not Available |
| Full Name | Serenity Care And Life Skills Services Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 610 Ne Horizon Dr Apt 108, Waukee, Iowa |
| Authorized Official Name and Position | Nicholaus Henry Madenge (DIRECTOR) |
| Authorized Official Contact | 5157455069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Care And Life Skills Services Llc 610 Ne Horizon Dr Apt 108 Waukee IA 50263-8023 Ph: (515) 745-5069 | Serenity Care And Life Skills Services Llc 610 Ne Horizon Dr Apt 108 Waukee IA 50263-8023 Ph: (515) 745-5069 |
| NPI Number | 1376149443 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376149443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Country Clinic Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Ne Dartmoor Dr, Waukee, IA 50263 Phone: 515-987-3117 Fax: 515-987-3119 |