| NPI | 1053172528 |
|---|---|
| Doing Business As | MOUNT HOOD SERENITY CARE |
| Entity Type | Organization |
| Authorized Contact | SOPHIA BROOMFIELD Owner 510-909-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |