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Organization
SERENITY FAMILY AND COMMUNITY CTR
Active
Organization
SERENITY FAMILY AND COMMUNITY CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICKEYIO HUSKEY (OWNER)
(704) 300-7707
Entity
Organization
Contact information
Practice address
1641 FRIENDSHIP RD, SHELBY, NC 28150-3222
(704) 300-7707
Mailing address
1641 FRIENDSHIP RD, SHELBY, NC 28150-3222
(704) 300-7077
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2050X
Respite Care Camp
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659636173
—
NC
Enumeration date
09/10/2025
Last updated
09/10/2026
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