# SERENITY FCH \#3

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

## Provider details

- **NPI number:** 1699154088
- **Authorized official:** ERICA FENNELL (OWNER)
- **Authorized official phone:** (910) 532-4864

## Contact information

- **Practice address:** 100 WEST LISBON MAGNOLIA RD, ROSE HILL, NC 28458-1333
- **Practice address phone:** (910) 532-4864
- **Practice address fax:** (910) 532-2766
- **Mailing address:** PO BOX 377, HARRELLS, NC 28444-0377
- **Mailing address phone:** (910) 532-4864
- **Mailing address fax:** (910) 532-2766

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015