Organization
SERENE FOUNTAINS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA DANIELS (OWNER)
(623) 213-5171
Entity
Organization
Contact information
Practice address
2160 N ALMA SCHOOL RD STE 110, CHANDLER, AZ 85224-2487
(623) 213-5171
Mailing address
2160 N ALMA SCHOOL RD STE 110, CHANDLER, AZ 85224-2487
(623) 213-5171
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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