Organization · NPI-2

A Serene Senior Living LLC

Assisted Living Facility · Mission Viejo, CA

NPI number1902650732
StatusActive
Last updated in NPPESApr 17, 2024

Details

NPI
1902650732
Entity type
Organization (NPI-2)
Legal business name
A Serene Senior Living LLC
Organization subpart
No
Enumeration date
Apr 17, 2024
Certification date
Apr 16, 2024
Last updated
Apr 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • A Serene Senior Living (Doing Business As)

Practice location

24562 Dardania Ave
Mission Viejo, CA 92691-4623

Phone 949-295-6854 · Fax 949-742-6355

Mailing address

6 Willowbrook Ln
Rancho Santa Margarita, CA 92688-5551

Phone 949-295-6854 · Fax 949-742-6355

Authorized official

Minerva Banzali Sansano
Administrator
9492956854

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