Whalio Doctors

NPI 1467835900

Serenity Choice Place, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Leesburg, FL

Practice location

Address
721 Balmoral Circle, Leesburg, FL 34748
Phone
(321) 396-2427

Authorised official

Name
Pebbles Carson
Title
Owner/ Manager
Phone
(321) 396-2427

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Foster Care Agency
Agencies Taxonomy 253J00000X

Registry record

NPI
1467835900
Entity type
Organization
NPI issued
1 Jul 2015
Record last updated
17 Mar 2018

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.