Organization
SERENITY SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE RICKETTS (ADMINISSTRATOR)
(786) 390-2290
Entity
Organization
Contact information
Practice address
2680 SE BREVARD AVE, PORT ST LUCIE, FL 34952-7203
(772) 204-2215
(772) 905-8048
Mailing address
2680 SE BREVARD AVE, PORT ST LUCIE, FL 34952-7203
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12595
FL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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