Provider Demographics
NPI:1548662604
Name:SERENE MEADOWS HOSPICE, LLC
Entity type:Organization
Organization Name:SERENE MEADOWS HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-754-1911
Mailing Address - Street 1:1140 W PIONEER PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6383
Mailing Address - Country:US
Mailing Address - Phone:817-754-1911
Mailing Address - Fax:817-754-1910
Practice Address - Street 1:1140 W PIONEER PKWY STE E
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6383
Practice Address - Country:US
Practice Address - Phone:817-754-1911
Practice Address - Fax:817-754-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based