Organization
SERENE LIVING HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON KOHLS (CEO/OWNER)
(319) 961-4806
Entity
Organization
Contact information
Practice address
1315 RANDOLPH ST, WATERLOO, IA 50702-2245
(319) 961-4806
Mailing address
1315 RANDOLPH ST, WATERLOO, IA 50702-2245
(319) 961-4806
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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