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Organization

SERENITY WAY ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY POITIER SR. (ADMINISTRATOR)
(561) 629-7450
Entity
Organization

Contact information

Practice address
1120 48TH ST, WEST PALM BEACH, FL 33407-2302
(561) 629-7450
(561) 629-7452
Mailing address
1120 48TH ST, WEST PALM BEACH, FL 33407-2302
(561) 629-7450
(561) 629-7452

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11713
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001708200
FL
Enumeration date
05/05/2011
Last updated
05/05/2011
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