Provider Demographics
NPI:1407322118
Name:SERENITY SUITES TOO, INC
Entity Type:Organization
Organization Name:SERENITY SUITES TOO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-830-7629
Mailing Address - Street 1:1540 E 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-5710
Mailing Address - Country:US
Mailing Address - Phone:907-830-7629
Mailing Address - Fax:
Practice Address - Street 1:4210 GALACTICA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99517-1444
Practice Address - Country:US
Practice Address - Phone:907-830-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility