# SERENITY SHORE ASSISTED LIVING FACILITY LLC

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

## Provider details

- **NPI number:** 1669395125
- **Authorized official:** MRS. MCAROLINE ROBERTSON NURE PRACTITIONER (AMINISTRATOR/OWNER)
- **Authorized official phone:** (772) 722-5766

## Contact information

- **Practice address:** 9173 SW ESULE WAY, PORT ST LUCIE, FL 34987-3406
- **Practice address phone:** (772) 722-5766
- **Mailing address:** 9173 SW ESULE WAY, PORT SAINT LUCIE, FL 34987-3406
- **Mailing address phone:** (772) 722-5766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | — | NULL | Yes |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2026
- **Last updated:** 08/03/2026
