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Organization
STATE OF SERENITY HOME CARE
Active
Organization
STATE OF SERENITY HOME CARE
Active
Other names
SOS Home care
Organization subpart
No
Provider details
NPI number
Authorized official
ROMARIC WAGUIA KOUAM RN (ADMINISTRATOR)
(919) 412-6821
Entity
Organization
Contact information
Practice address
101 BRADY CT STE B, CARY, NC 27511-4572
(919) 972-1964
Mailing address
101 BRADY CT STE B, CARY, NC 27511-4572
(919) 972-1964
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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