NPI | 1447690417 |
---|---|
Other Name | SERENITY FAMILY CARE HOME #2 |
Entity Type | Organization |
Authorized Contact | ERICA TERESA FENNELL Owner 910-271-5269 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2013-07-05 |
Last Update Date | 2022-03-30 |