# SERENITY FACILITY LLC

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

## Provider details

- **NPI number:** 1043622970
- **Authorized official:** SONYA SMITH (ADMINISTRATOR)
- **Authorized official phone:** (313) 205-0663

## Contact information

- **Practice address:** 18514 BLACKMOOR ST, DETROIT, MI 48234-3887
- **Practice address phone:** (313) 805-4727
- **Practice address fax:** (248) 862-6425
- **Mailing address:** PO BOX 479, SAINT CLAIR SHORES, MI 48080-0479
- **Mailing address phone:** (313) 805-4727
- **Mailing address fax:** (248) 862-6425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2014
- **Last updated:** 05/27/2014