Organization · Type 2 NPI
Serenity House Afch
Physical Disabilities Residential Treatment Facility · St. Petersburg, FL
NPI number
1205277407
Active
Practice location
943 62nd Ter S
St. Petersburg, FL 33705-5818
Fax (727) 906-9405
Mailing address
943 62nd Terrace S.
St. Petersburg, USA 33705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 6906590 (FL) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1205277407
Serenity House Afch's National Provider Identifier is 1205277407, issued on Jul 16, 2013. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 16, 2013.