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Organization

SERENITY HAVEN SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHAALIQ RASHEED PAYNE (OWNER/EX. DIRECTOR)
(757) 751-7728
Entity
Organization

Contact information

Practice address
1213 FOX CREEK DR, KILLEEN, TX 76543-7142
(757) 751-7728
Mailing address
1213 FOX CREEK DR, KILLEEN, TX 76543-7142
(757) 751-7728

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
07/12/2025
Last updated
07/12/2025
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