# SERENE HAVEN RESIDENTIAL

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

## Provider details

- **NPI number:** 1295551281
- **Authorized official:** KATHRYN LYTTLETON (FOUNDER)
- **Authorized official phone:** (419) 348-3033

## Contact information

- **Practice address:** 19940 STANLEY ST, MELVINDALE, MI 48122-1869
- **Practice address phone:** (419) 348-3033
- **Mailing address:** 19940 STANLEY ST, MELVINDALE, MI 48122-1869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 11/25/2024