Organization
MOUNTAIN SERENITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LYNDON GRIGSBY (PRESIDENT)
(606) 378-2215
Entity
Organization
Contact information
Practice address
490 WILLIAMS BRANCH RD, HAZARD, KY 41701-7055
(606) 378-2215
(606) 378-2223
Mailing address
490 WILLIAMS BRANCH RD, HAZARD, KY 41701-7055
(606) 378-2215
(606) 378-2223
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
33000803
KY
251C00000X
Developmentally Disabled Services Day Training Agency
33000803
KY
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
33000803
KY
385H00000X
Respite Care
Primary
33000803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000803
—
KY
Enumeration date
06/20/2006
Last updated
09/11/2025
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