Organization
SERENE JOURNEY ASSISTED LIVING FACILITY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE ANN SHAKIR (PRESIDENT & CEO)
(832) 449-6470
Entity
Organization
Contact information
Practice address
1111 BLALOCK RD APT 32, HOUSTON, TX 77055-7426
(832) 449-6470
Mailing address
1111 BLALOCK RD APT 32, HOUSTON, TX 77055-7426
(832) 449-6470
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
06/08/2020
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