OrganizationSerene Grace Assisted Living Home LlcAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address3639 E 74th Ave, Anchorage, AK 99507-2829(907) 272-4073PECOS EnrollmentBased on the most recent information from CMS, provider Serene Grace Assisted Living Home Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1285145193Provider TypeOrganizationFull NameSerene Grace Assisted Living Home LlcSubpartNoEnumeration Date10/18/2017Last Updated6/16/2018Contact InformationPractice LocationPractice Address3639 E 74th Ave, Anchorage, AK 99507-2829Phone(907) 272-4073Fax(907) 522-1626Mailing LocationMailing Address3639 E 74th Ave, Anchorage, AK 99507-2829Phone(907) 272-4073Fax(907) 522-1626Authorized OfficialNameWilliams, Mirasol (Sole Member)Phone(907) 272-4073Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicense101199AlaskaProvider IdentifiersIDDescriptionIssuerID101199DescriptionOtherIssuerSTATE OF ALASKAAlaskaID1051694DescriptionOtherIssuerSTATE OF ALASKAAlaska