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Organization
SERENITY HOUSE AFCH
Active
Organization
SERENITY HOUSE AFCH
Active
Other names
Camilla Bridgeman
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLA LEE BRIDGEMAN PCT (OWNER)
(727) 906-9405
Entity
Organization
Contact information
Practice address
943 62ND TER S, ST PETERSBURG, FL 33705-5818
(727) 906-9405
(727) 906-9405
Mailing address
943 62ND TERRACE S., ST. PETERSBURG, USA 33705
(727) 906-9405
(727) 906-9405
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
6906590
FL
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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