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Organization

SERENITY GROUP HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUSTAFA FARAH LALD (ASSISTED LIVING DIRECTOR)
(612) 836-9799
Entity
Organization

Contact information

Practice address
3234 DUPONT AVE N, MINNEAPOLIS, MN 55412-2510
(612) 836-9799
Mailing address
1901 STEVENS AVE APT 2, MINNEAPOLIS, MN 55403-3870
(612) 836-9799

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
376G00000X
Nursing Home Administrator

Other

Enumeration date
08/15/2025
Last updated
09/24/2025
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