MEDICARE: SERENITY AT GRACE HAVEN SENIOR COMMUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1376493981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY AT GRACE HAVEN SENIOR COMMUNITY

Provider Business Mailing Address
First Line	:	6411 HOWELLS FERRY RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3120
Country	:	US
Telephone Number	:	241-724-2042
Fax Number	:	251-725-0362

Provider Business Practice Location Address
First Line	:	6411 HOWELLS FERRY RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36618-3120
Country	:	US
Telephone Number	:	241-724-2042
Fax Number	:	251-725-0362

Authorized Official
Title or Position	:	CEO
Name	:	ANGANATTE WILLIAMS
Credential	:
Telephone Number	:	251-680-3182

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “SERENITY AT GRACE HAVEN SENIOR COMMUNITY ” Practice Location

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