Organization
SERENITY ADULT LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON RODRIGUEZ (MANAGER)
(786) 863-5459
Entity
Organization
Contact information
Practice address
820 SW 20TH AVE, MIAMI, FL 33135-3328
(305) 649-5835
Mailing address
820 SW 20TH AVE, MIAMI, FL 33135-3328
(305) 649-5835
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L12000083890
FL DEPT OF STATE - DOCUMENT NUMBER
FL
Enumeration date
06/26/2012
Last updated
06/26/2012
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