# SERENITY RESIDENTIAL HOME CARE

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

## Provider details

- **NPI number:** 1518312404
- **Authorized official:** MR. TIMOTHY LEE SHOALS SR. BS (OWNER)
- **Authorized official phone:** (405) 361-7643

## Contact information

- **Practice address:** 1129 N HARVARD AVE, OKLAHOMA CITY, OK 73127-4021
- **Practice address phone:** (405) 946-3341
- **Practice address fax:** (405) 272-1630
- **Mailing address:** 214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
- **Mailing address phone:** (405) 361-7643
- **Mailing address fax:** (405) 272-1630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2016
- **Last updated:** 04/28/2016