Organization
SERENITY RESIDENTIAL HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIDA MOHAMED (OWNER)
(480) 200-9183
Entity
Organization
Contact information
Practice address
3722 E ORCHID CT, GILBERT, AZ 85296-8268
(480) 200-9183
(480) 207-5977
Mailing address
3100 W RAY RD STE 201, CHANDLER, AZ 85226-2472
(480) 200-9183
(480) 207-5977
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5593
BEHAVIORAL HEALTH RESIDENTIAL FACILITY
AZ
Enumeration date
05/13/2020
Last updated
05/14/2020
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