Organization
SERENITY HOUSE RESIDENTIAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY M SHANNON (CEO/ ATTORNEY)
(313) 587-0861
Entity
Organization
Contact information
Practice address
21838 VAN K DR, GROSSE POINTE WOODS, MI 48236-1153
(313) 587-0861
Mailing address
21838 VAN K DR, GROSSE POINTE WOODS, MI 48236-1153
(313) 587-0861
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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