# SERENITY OF WILSON HOME CARE INC.

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

## Provider details

- **NPI number:** 1669736252
- **Authorized official:** RAVEN JANEEN BARNES (OWNER/DIRECTOR)
- **Authorized official phone:** (252) 281-1048

## Contact information

- **Practice address:** 4004 ECLIPSE WAY, WILSON, NC 27896-7801
- **Practice address phone:** (252) 674-7294
- **Practice address fax:** (252) 281-1048
- **Mailing address:** 2704 BARRINGTON DR N, WILSON, NC 27896-8852
- **Mailing address phone:** (252) 282-1048
- **Mailing address fax:** (252) 281-1048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-098-179 | NC | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 06/27/2012