Serene Journey Assisted Living Facility LLC.
Residential Treatment Facility, Physical Disabilities in Houston, TX. Organization (NPI-2).
NPI number1871028530
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1871028530
- Entity type
- Organization (NPI-2)
- Legal business name
- Serene Journey Assisted Living Facility LLC.
- Organization subpart
- No
- Enumeration date
- May 1, 2017
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
1111 Blalock Rd Apt 32Houston, TX 77055-7426
Phone 832-449-6470
Mailing address
1111 Blalock Rd Apt 32Houston, TX 77055-7426
Phone 832-449-6470
Other practice locations
9820 Memorial Dr Apt 87
Houston, TX 77024-3443
Houston, TX 77024-3443
Phone 832-449-6470
Authorized official
Stacie Ann Shakir
President & Ceo
8324496470
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