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Organization
SERENE LIVING SERVICES LIMITED LIABILITY COMPANY
Active
Organization
SERENE LIVING SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD TAURAI MUGOMBA (ADMINISTRATOR)
(267) 467-9256
Entity
Organization
Contact information
Practice address
152 E HIGH ST STE 440B, POTTSTOWN, PA 19464-5400
(267) 467-9256
(610) 340-4001
Mailing address
152 E HIGH ST STE 440B, POTTSTOWN, PA 19464-5400
(267) 467-9256
(610) 340-4001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037631950001
—
PA
Enumeration date
04/07/2019
Last updated
02/17/2024
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