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Organization
SERENITY YEARS LLC
Active
Organization
SERENITY YEARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUGEY G LIBRADO (ADMINISTRATOR)
(407) 968-7158
Entity
Organization
Contact information
Practice address
1239 MYRTLE ST, ORLANDO, FL 32807-3515
(407) 968-7158
Mailing address
1239 MYRTLE ST, ORLANDO, FL 32807-3515
(407) 968-7158
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102176000
—
FL
Enumeration date
04/01/2019
Last updated
04/01/2019
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