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Organization

SERENE LIVING COMMUNITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BOLDEN (OWNER)
(904) 568-0240
Entity
Organization

Contact information

Practice address
6034 WILSON BLVD, JACKSONVILLE, FL 32210-3906
(904) 568-0240
Mailing address
8027 FOXDALE DR, JACKSONVILLE, FL 32210-4694
(904) 568-0240

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/16/2025
Last updated
07/17/2025
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