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Organization

SERENITY ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURIE EVELYN BUGGIA (OWNER/MANAGER)
(928) 505-3908
Entity
Organization

Contact information

Practice address
3677 BLUE COLT DR, LAKE HAVASU CITY, AZ 86406-4273
(928) 505-3908
(928) 505-3908
Mailing address
3677 BLUE COLT DR, LAKE HAVASU CITY, AZ 86406-4273
(928) 505-3908
(928) 505-3908

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5158
AZ

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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