# CASA SERENA CONGREGATE LIVING INC

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

## Provider details

- **NPI number:** 1356164164
- **Authorized official:** MRS. JENARU VANESSA MION RN, PHN, MSN (PRESIDENT)
- **Authorized official phone:** (909) 528-1270

## Contact information

- **Practice address:** 31297 TENNESSEE LN, YUCAIPA, CA 92399-1556
- **Practice address phone:** (909) 810-1088
- **Mailing address:** 31297 TENNESSEE LN, YUCAIPA, CA 92399-1556
- **Mailing address phone:** (840) 213-6228
- **Mailing address fax:** (909) 752-5297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 07/01/2026
