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Serenity Springs Llc
Substance Abuse Rehabilitation Facility in Edgewater, Florida
NPI 1194164277

Serenity Springs Llc is a Substance Abuse Rehabilitation Facility based in Edgewater, FL. Serenity Springs Llc practices in Edgewater, FL. The NPI Number for Serenity Springs Llc is 1194164277 and holds a License No. 0764AD596801 (Florida).

The current practice location address for Serenity Springs Llc is 1555 Cow Creek Rd, Edgewater, FL and can be reached out via phone at 386-423-4540.

Location: 1555 Cow Creek Rd, Edgewater, FL, 32132-6915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194164277
Provider Name
Serenity Springs Llc
Credential
Provider Entity Type
Organization
Address
1555 Cow Creek Rd, Edgewater, FL, 32132-6915
Phone Number
386-423-4540
Fax Number
Provider Enumeration Date
06/21/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
69-3200 01 MEDICARE
69-3200 01 FL CMS
113733600 05 FL
institution
Provider Business Practice Location Address Details
Address
1555 Cow Creek Rd
City
Edgewater
State
Florida
Zip
32132-6915
Phone Number
386-423-4540
Fax Number
person
Provider Business Mailing Address Details
Address
1555 Cow Creek Rd
City
Edgewater
State
Florida
Zip
32132-6915
Phone Number
386-423-4540
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
0764AD596801 (Florida)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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