# SERENITY ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043024391
- **Authorized official:** EVONNDA JEAN FIELDS MSW (CEO)
- **Authorized official phone:** (405) 627-8552

## Contact information

- **Practice address:** 5524 S VENTURA DRIVE, OKLAHOMA CITY, OK 73135
- **Practice address phone:** (405) 627-8552
- **Practice address fax:** (405) 455-1215
- **Mailing address:** P.O BOX 55811, OKLAHOMA CITY, OK 73155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 02/06/2025