Organization
SERENITY HOMES-NORTH
Active
Parent organization
SERENITY HOMES-WEST L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SERENITY HOMES-WEST L.L.C.
Authorized official
MR. ABRAHAM, JOSHUA M.P.A. (PRESIDENT/ADMINISTRATOR)
(616) 361-6571
Entity
Organization
Contact information
Practice address
830 HAYES ST, MARNE, MI 49435-9792
(616) 677-6015
(616) 431-5021
Mailing address
3109 LAWTON DR NE, GRAND RAPIDS, MI 49525-2916
(616) 361-6571
(616) 361-0852
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL700316956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097737
—
MI
Enumeration date
09/24/2013
Last updated
09/24/2013
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