A Serene Life LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Deptford, NJ
NPI 1982373932 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1982373932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- A SERENE LIFE LLC
- Practice address
- 100 Lionheart LN
West Deptford, NJ 08086-2253 - Phone
- (856) 392-1123
- NPI assigned
- Sep 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Ms. Ashley Willis
- Title
- Owner
- Phone
- (856) 392-1123
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
100 Lionheart LN
West Deptford, NJ 08086-2253
Mailing address
100 Lionheart LN
West Deptford, NJ 08086-2253
Phone (856) 392-1123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450615722 | Medicaid | NJ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aserenelifeLLC@outlook.com | ||
| Other URL | aserenelifeLLC@outlook.com | Other | A Serene Life LLC |
Other providers in West Deptford, NJ
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- Aeris Consulting & Management, LLC
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All providers in West Deptford, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.