| A Serene Life Llc | |
|
100 Lionheart Ln West Deptford NJ 08086-2253 | |
| (856) 392-1123 | |
| Not Available |
| Full Name | A Serene Life Llc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 100 Lionheart Ln, West Deptford, New Jersey |
| Authorized Official Name and Position | Ashley Willis (OWNER) |
| Authorized Official Contact | 8563921123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Serene Life Llc 100 Lionheart Ln West Deptford NJ 08086-2253 Ph: (856) 392-1123 | A Serene Life Llc 100 Lionheart Ln West Deptford NJ 08086-2253 Ph: (856) 392-1123 |
| NPI Number | 1982373932 |
|---|---|
| Provider Enumeration Date | 09/12/2021 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982373932 | NPI | - | NPPES |
| 0450615722 | Medicaid | NJ |
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