MEDICARE: L & M SERENITY LLC

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	:	1952180036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & M SERENITY LLC

Provider Business Mailing Address
First Line	:	6073 W 44TH AVE STE 202
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-4703
Country	:	US
Telephone Number	:	303-814-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	2337 S FOREST DR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6241
Country	:	US
Telephone Number	:	303-814-2688
Fax Number	:	303-756-9944

Authorized Official
Title or Position	:	OWNER/MANAGING PARTNER
Name	:	FRANCIS MICHAEL LEGASSE JR.
Credential	:
Telephone Number	:	303-814-2688

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/27/2023

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Directions to “L & M SERENITY LLC ” Practice Location

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