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Organization

SERENE LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERRELL LYNETTE THOMPSON PHARM D (CEO)
(504) 319-1769
Entity
Organization

Contact information

Practice address
1567 SHIRLEY DR, NEW ORLEANS, LA 70114-2911
(504) 319-1769
(504) 383-7448
Mailing address
1317 DUPAS ST, GRETNA, LA 70053-3710
(504) 319-1769

Taxonomy

Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility

Other

Enumeration date
07/23/2020
Last updated
07/24/2020
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