NPI 1578280970
Serene Living Homes, LLC
Practice location
- Address
- 1315 Randolph St, Waterloo, IA 50702-2245
- Phone
- (319) 961-4806
Authorised official
- Name
- Sheldon Kohls
- Title
- Ceo/Owner
- Phone
- (319) 961-4806
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1578280970
- Entity type
- Organization
- NPI issued
- 26 Oct 2022
- Record last updated
- 26 Oct 2022
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.