Organization
SERENITY RANCH ASSISTED LIVING HOME , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUANN MASSA SAMUELSON (OWNER/ADMINISTRATOR)
(954) 478-2310
Entity
Organization
Contact information
Practice address
12475 SW 58TH ST, SOUTHWEST RANCHES, FL 33330-3201
(954) 533-9184
(954) 533-9187
Mailing address
12475 SW 58TH STREET, SOUTHWEST RANCHES, FL 33330
(954) 533-9184
(954) 533-9187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11718
FL
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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