Organization
SERENITY CHOICE PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEBBLES CARSON (OWNER/ MANAGER)
(321) 396-2427
Entity
Organization
Contact information
Practice address
721 BALMORAL CIRCLE, LEESBURG, FL 34748
(321) 396-2427
Mailing address
721 BALMORAL CIRCLE, LEESBURG, FL 34748
(321) 396-2427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
03/17/2018
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