Serenity Group Home LLC
NPI #1659164465 in De Pere, Wisconsin
Provider Information
- NPI Number
- 1659164465
- Entity Type
- Organization
- Organization Name
- Serenity Group Home LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 24, 2025
- Last Updated
- May 24, 2025
Practice Location
Authorized Official
- Name
- KHADRA S HIRSI
- Title
- OWNER
- Phone
- (614) 897-6035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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