Serenity Lane in Coburg - Substance Abuse Rehabilitation Facility
Serenity Lane - NPI 1104934892
Serenity Lane is a Substance Abuse Rehabilitation Facility in Coburg, Oregon. Serenity Lane practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Serenity Lane is 1104934892. The last update date is 2023-04-05.
Serenity Lane's current location address is P.o. Box 8549, Coburg, Oregon. You can contact this provider via phone number 5412848605 and fax number 5416879041. The mailing address for Serenity Lane is P.o. Box 8549, Coburg, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Serenity Lane |
---|---|
Address | P.o. Box 8549, Coburg, Oregon |
Phone Number | 5412848605 |
Fax Number | 5416879041 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF FINA |
---|---|
Authorized Official Name | Carlin Brian |
Telephone Number | 5412848617 |
NPI Number Detail
NPI Number | 1104934892 |
---|---|
Provider Enumeration Date | 2006-08-25 |
Last Updated Date | 2023-04-05 |
Provider Mailing Address Detail
Address | P.o. Box 8549 |
---|---|
City | Coburg |
State | Oregon (OR) |
Post Code | 97408 |
Phone Number | 5412848605 |
Fax Number | 5416879041 |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Rehabilitation Facility |
---|---|
Taxonomy | 324500000X |
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. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Serenity Lane?
The Serenity Lane has been issued the NPI (National Provider Identifier) 1104934892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Serenity Lane located?
The Serenity Lane is located at P.O. Box 8549, Coburg, OR 97408.
What is Serenity Lane's area of expertise and its corresponding taxonomy classification?
The Serenity Lane's field of specialization is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1104934892 to Serenity Lane?
The Serenity Lane received its 1104934892 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information regarding Serenity Lane most recently updated?
The details pertaining to the Serenity Lane, including its address, specialty, and other relevant information, were last refreshed on 2023-04-05.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA