# CRYSTAL SERENITY HOUSE

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

## Provider details

- **NPI number:** 1376080614
- **Authorized official:** CRYSTAL NUNNERY (MANAGER)
- **Authorized official phone:** (734) 709-8296

## Contact information

- **Practice address:** 14241 FAUST AVE STE 200-B, DETROIT, MI 48223-3574
- **Practice address phone:** (888) 609-6012
- **Practice address fax:** (313) 736-3471
- **Mailing address:** 14241 FAUST AVE STE 200-B, DETROIT, MI 48223-3574
- **Mailing address phone:** (888) 609-6012
- **Mailing address fax:** (313) 736-3471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017