Organization
SERENITY HAVEN GROUP HOME LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIQANI SHARIF (OWNER/DIRECTOR)
(503) 980-5325
Entity
Organization
Contact information
Practice address
2400 IVY LN, BLOOMINGTON, MN 55431-2830
(763) 567-2015
Mailing address
20074 67TH AVE, CORCORAN, MN 55340-1018
(503) 980-5325
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/07/2025
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