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SERENITY LIFE WELLNESS CENTER LLC NPI 1649059957


NPI Information

NPI: 1649059957
Provider Name: SERENITY LIFE WELLNESS CENTER, LLC
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
4903 MARK CT
NORTH RIDGEVILLE, OH
ZIP 44039
Phone: (407) 797-7298
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SERENITY LIFE WELLNESS CENTER, LLC is an addiction medicine preventive medicine in North Ridgeville, OH. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. SERENITY LIFE WELLNESS CENTER, LLC NPI is 1649059957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4903 MARK CT
NORTH RIDGEVILLE, OH
ZIP 44039-753
Phone: (407) 797-7298
Fax: (407) 386-0032

The provider's authorized official is Oswaldo J Perez .
The authorized official title is C.e.o. and has the following contact phone number (407) 946-0093.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 11/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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