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General NPI Number Information
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NPI Number | 1174324677
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Entity Type | Organization
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Legal Business Name | SERENITY HOMES OF HOPE LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 556 W MIRAGE LOOP
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City | CASA GRANDE
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State | AZ
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Zip | 85122-6133
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Country | US
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Telephone | 520-340-4239
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Fax | 520-421-2877
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Provider Business Mailing Address
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Address Line | 340 N POTTEBAUM RD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5331
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Country | US
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Telephone | 520-280-8999
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Fax | 520-421-2877
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FLORENCE OLADOKUN
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Credential | FNP-BC
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Telephone | 520-280-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #3
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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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