Provider Demographics
NPI:1184284390
Name:SE-REN-I-TY HEALTH PLUS
Entity type:Organization
Organization Name:SE-REN-I-TY HEALTH PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEWANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-436-3529
Mailing Address - Street 1:929 N SPRING AVE STE C3
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3629
Mailing Address - Country:US
Mailing Address - Phone:314-437-3529
Mailing Address - Fax:314-720-9273
Practice Address - Street 1:929 N SPRING AVE STE C3
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-3629
Practice Address - Country:US
Practice Address - Phone:314-437-3529
Practice Address - Fax:314-720-9273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health