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General NPI Number Information
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NPI Number | 1376456350
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Entity Type | Organization
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Legal Business Name | THE SERENITY LIVING HOME LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 405 KINGS WAY
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City | SUISUN CITY
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State | CA
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Zip | 94585
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Country | US
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Telephone | 707-759-4887
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Fax | 707-920-2912
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Provider Business Mailing Address
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Address Line | 26596 DURHAM WAY
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City | HAYWARD
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State | CA
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Zip | 94542
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Country | US
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Telephone | 510-556-9743
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Fax | 707-920-2912
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | ANIRUDH WADHWA
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Credential |
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Telephone | 510-556-9743
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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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