# SERENITY MANOR AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SERENITY MANOR ASSISTED LIVING, INC.
- **Other names:** Serenity Manor Agency
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265862031
- **Legal business name:** SERENITY MANOR ASSISTED LIVING, INC.
- **Authorized official:** MS. TENEMA RACHAE ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (813) 965-3748

## Contact information

- **Practice address:** 322 REGAL PARK DR, VALRICO, FL 33594-3638
- **Practice address phone:** (813) 315-8894
- **Practice address fax:** (813) 315-9358
- **Mailing address:** 322 REGAL PARK DR, VALRICO, FL 33594-3638
- **Mailing address phone:** (813) 315-8894
- **Mailing address fax:** (813) 315-9358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2013
- **Last updated:** 11/15/2013