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Organization
RAHAB SERENITY HOME PHASE LL LLC
Active
Organization
RAHAB SERENITY HOME PHASE LL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIYA LEWIS (ADMINISTRATOR/OWNER)
(252) 916-3132
Entity
Organization
Contact information
Practice address
27 VERMONT AVE, WASHINGTON, NC 27889-7467
(252) 916-3132
Mailing address
108 WYNDHAM CIR APT B, GREENVILLE, NC 27858-1663
(252) 916-3132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/10/2025
Last updated
04/21/2026
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