# KEYS TO SERENITY CAREGIVERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205532140
- **Authorized official:** MR. TYRELL FULWOOD (CO-PROVIDER)
- **Authorized official phone:** (704) 891-6883

## Contact information

- **Practice address:** 1546 BERRY BLVD, LOUISVILLE, KY 40215-1955
- **Practice address phone:** (704) 891-6883
- **Practice address fax:** (980) 236-8333
- **Mailing address:** 8036 MCGARRY TRL, CHARLOTTE, NC 28214-7649
- **Mailing address phone:** (704) 891-6883
- **Mailing address fax:** (980) 236-8333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2023
- **Last updated:** 02/02/2023