Organization
SERENITY PERSONAL CARE RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALMON THOMPSON (OWNER ADMINISTRATOR)
(678) 908-0921
Entity
Organization
Contact information
Practice address
2327 YOUNG RD, STONE MOUNTAIN, GA 30088-4111
(678) 908-0921
Mailing address
5506 STONELEIGH CT, STONE MOUNTAIN, GA 30088-3433
(678) 908-0921
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
044-01716-9
GA
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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