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Organization

SERENITY HOUSE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH SUMNER (DIRECTOR)
(715) 723-8468
Entity
Organization

Contact information

Practice address
205 E GRAND AVE, CHIPPEWA FALLS, WI 54729-2632
(715) 723-8468
Mailing address
205 E GRAND AVE, CHIPPEWA FALLS, WI 54729-2632

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39172600
WI
Enumeration date
04/02/2008
Last updated
04/02/2008
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