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Organization

SERENITY SENIOR LIVING I, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON L SHAW LMSW (MANAGER)
(214) 730-0042
Entity
Organization

Contact information

Practice address
1025 CAVERN DR, MESQUITE, TX 75181-4418
(972) 629-9707
Mailing address
3349 INTERSTATE 30, MESQUITE, TX 75150-2630
(214) 730-0042

Taxonomy

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

Other

Enumeration date
01/16/2023
Last updated
01/16/2023
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