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General NPI Number Information
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NPI Number | 1356177174
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Entity Type | Organization
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Legal Business Name | THE SERENITY COMMUNITY, LLC
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1151 DORSEY RD
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City | HANOVER
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State | MD
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Zip | 21076-1536
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Country | US
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Telephone | 443-805-4935
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Fax |
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Provider Business Mailing Address
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Address Line | 16106 DARK HOLLOW RD
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City | UPPERCO
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State | MD
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Zip | 21155-9353
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Country | US
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Telephone | 443-805-4935
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Fax |
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Authorized Official
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Title or Position | OWNER/ASSISTED LIVING MANAGER
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Name | NATASCHA BROWN
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Credential |
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Telephone | 443-805-4935
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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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