Provider Demographics
NPI:1679953319
Name:SERENITY LIVING INC
Entity Type:Organization
Organization Name:SERENITY LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TWIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-412-6337
Mailing Address - Street 1:29 WILLIAM ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-4010
Mailing Address - Country:US
Mailing Address - Phone:973-412-6337
Mailing Address - Fax:
Practice Address - Street 1:29 WILLIAM ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-4010
Practice Address - Country:US
Practice Address - Phone:973-412-6337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health