Organization
SERENITY HOPE FAMILY CENTER
Active
Organization
SERENITY HOPE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JALEN BONANNEE (OWNER)
(954) 593-0886
Entity
Organization
Contact information
Practice address
5040 SW 22ND ST, WEST PARK, FL 33023-3222
(954) 593-0886
Mailing address
5040 SW 22ND ST, WEST PARK, FL 33023-3222
(954) 593-0886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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