St Croix Serenity Home LLC
NPI #1295578151 in Hudson, Wisconsin
Provider Information
- NPI Number
- 1295578151
- Entity Type
- Organization
- Organization Name
- St Croix Serenity Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
Authorized Official
- Name
- MOHAMED A MOHAMED
- Title
- CEO
- Phone
- (517) 505-0174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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