| NPI | 1013044247 |
|---|---|
| Doing Business As | SERENITY PLACE III |
| Entity Type | Organization |
| Authorized Contact | CLARICE SHYLLON FAULKNER President 919-771-9173 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-092-443) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-06-30 |