NPI 1205277407

Serenity House Afch

Organisation Physical Disabilities Residential Treatment Facility St Petersburg, FL

Practice location

Address: 943 62nd Ter S, St Petersburg, FL 33705-5818
Phone: (727) 906-9405
Fax: (727) 906-9405
Mailing address: 943 62nd Terrace S., St. Petersburg, USA 33705

Authorised official

Name: Camilla Lee Bridgeman
Title: Owner
Phone: (727) 906-9405

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 6906590 (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1205277407
Entity type: Organization
NPI issued: 16 Jul 2013
Record last updated: 16 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.