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Find providers by NPI
Organization

SERENITY VILLAGE ASSISTED LIVING

Active
Parent organization
ADAM JADE VENTURES, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADAM JADE VENTURES, INC
Authorized official
STEPHANIE FRYER LALD (DIRECTOR OF OPERATIONS)
(763) 300-7875
Entity
Organization

Contact information

Practice address
113 SERENITY CT, AVON, MN 56310-4541
(320) 844-8880
(763) 201-5991
Mailing address
113 SERENITY CT, AVON, MN 56310-4541
(763) 201-5991

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A522681500
UMPI
MN
Enumeration date
04/30/2026
Last updated
04/30/2026
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