Organization
SERENA ADULT CARELLC
Active
Other names
Serena House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADIINAH NAMUTEBI (EXECUTIVE DIRECTOR)
(857) 294-3986
Entity
Organization
Contact information
Practice address
470 MAIN ST, APT #2, STONEHAM, MA 02180-2628
(857) 294-3986
Mailing address
470 MAIN ST, APT 2, STONEHAM, MA 02180-2628
(857) 294-3986
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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