Organization
SERENITY ADULT FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA MILLER (OWNER/ADMINISTRATOR)
(407) 219-4283
Entity
Organization
Contact information
Practice address
748 MELLOWOOD AVE, ORLANDO, FL 32825-8077
(407) 219-4283
Mailing address
748 MELLOWOOD AVE, ORLANDO, FL 32825-8077
(407) 219-4283
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906686
FL
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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