Organization
SERENITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADHI HERSI (OWNER)
(602) 688-9942
Entity
Organization
Contact information
Practice address
4451 W ST ANNE AVE, LAVEEN, AZ 85339-6232
(858) 216-5617
Mailing address
4451 W ST ANNE AVE, LAVEEN, AZ 85339-6232
(602) 688-9942
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
04/13/2025
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