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General NPI Number Information
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NPI Number | 1043130610
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Entity Type | Organization
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Legal Business Name | SERENITY RESIDENTIAL HOMES LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 4815 W CRITTENDEN LN
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City | PHOENIX
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State | AZ
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Zip | 85031-3145
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Country | US
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Telephone | 480-200-9183
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Fax | 480-383-6280
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Provider Business Mailing Address
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Address Line | 3722 E ORCHID CT
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City | GILBERT
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State | AZ
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Zip | 85296-8268
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Country | US
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Telephone | 480-200-9183
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Fax | 480-383-6280
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Authorized Official
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Title or Position | OWNER
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Name | SAIDA MOHAMED
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Credential |
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Telephone | 480-200-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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