Organization
SERENITY LIVING CENTER
Active
Other names
Serenity Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ANDERSON (MANAGER)
(218) 477-7254
Entity
Organization
Contact information
Practice address
1125 OAKVIEW DR, DILWORTH, MN 56529-1827
(218) 477-7254
(218) 477-7255
Mailing address
1125 OAKVIEW DR, DILWORTH, MN 56529-1827
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
372061
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M183447400
UMPI
MN
01
—
M559433000
UMPI
MN
Enumeration date
11/06/2015
Last updated
11/06/2015
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