# VIV SERENITY HAVEN LLC

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

## Provider details

- **NPI number:** 1821926767
- **Authorized official:** MS. VIVETTE MALCOLM RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (347) 888-8623

## Contact information

- **Practice address:** 75111 NASSAU STATION WAY, YULEE, FL 32097-3862
- **Practice address phone:** (347) 888-8623
- **Mailing address:** 192 SW INWOOD AVE, PORT SAINT LUCIE, FL 34984-4917
- **Mailing address phone:** (347) 888-8623

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/11/2026