Organization
SERENE LIVING SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD TAURAI MUGOMBA (ADMINISTRATOR)
(267) 467-9256
Entity
Organization
Contact information
Practice address
152 E HIGH ST STE 440B, POTTSTOWN, PA 19464-5400
(267) 467-9256
(610) 340-4001
Mailing address
152 E HIGH ST STE 440B, POTTSTOWN, PA 19464-5400
(267) 467-9256
(610) 340-4001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037631950001
—
PA
Enumeration date
04/07/2019
Last updated
02/17/2024
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