Organization
SERENITY RANCH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER JENKINS (CHIEF OPERATING OFFICER)
(817) 797-1407
Entity
Organization
Contact information
Practice address
2856 NOLIN DAM RD, MAMMOTH CAVE, KY 42259-8103
(817) 797-1407
Mailing address
2856 NOLIN DAM RD, MAMMOTH CAVE, KY 42259-8103
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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