Organization
SERENE LIFESTYLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINIECK CHANEY (OWNER)
(804) 263-6140
Entity
Organization
Contact information
Practice address
2909 ALLENS XING, GLEN ALLEN, VA 23060-2135
(804) 263-6140
Mailing address
2909 ALLENS XING, GLEN ALLEN, VA 23060-2135
(804) 263-6140
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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