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Organization

SERENITY HOUSE ASSISTED LIVING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL WARREN ZISLIS (PRESIDENT)
(303) 584-8926
Entity
Organization

Contact information

Practice address
5290 E YALE CIR STE 209, DENVER, CO 80222-6933
(303) 584-8926
(303) 584-9508
Mailing address
5290 E YALE CIR STE 209, DENVER, CO 80222-6933
(303) 584-8926
(303) 584-9508

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0378
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09478876
CO
05
18202586
CO
05
20728352
CO
05
33037027
CO
05
42377820
CO
05
50053230
CO
05
50536788
CO
05
53278771
CO
05
57787069
CO
05
59384735
CO
05
63581582
CO
05
76539873
CO
05
78981824
CO
05
95529284
CO
05
97354520
CO
05
99189542
CO
Enumeration date
04/12/2007
Last updated
04/19/2016
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