Organization
SERENITY ASSISTED LIVING LLC
Active
Other names
Serenity
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PETTIS (PRESIDENT)
(478) 714-0246
Entity
Organization
Contact information
Practice address
206 PINE ST, SPARKS, GA 31647-7422
(229) 549-6620
Mailing address
PO BOX 947, PERRY, GA 31069-0947
(478) 714-0246
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046652606A
—
GA
Enumeration date
04/07/2026
Last updated
04/07/2026
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