Organization
SERENITY VILLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA REZNIK (OWNER)
(415) 609-3827
Entity
Organization
Contact information
Practice address
477 PETALUMA AVE, SEBASTOPOL, CA 95472
(707) 827-3685
(707) 861-9160
Mailing address
477 PETALUMA AVENUE, SEBASTOPOL, CA 95472
(707) 827-3685
(707) 861-9160
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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