Organization
SERENE RESIDENTIAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKWUDI IKISEH (ADMINISTRATOR FOR ASSISTED LIVING)
(209) 283-8728
Entity
Organization
Contact information
Practice address
1848 CHATFIELD CIR, STOCKTON, CA 95209-4239
(209) 283-8728
Mailing address
1848 CHATFIELD CIR, STOCKTON, CA 95209-4239
(510) 860-5725
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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