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Organization
SERENITY HOME CORPORATION INC.
Active
Organization
SERENITY HOME CORPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE MORALES-MONTOYA (ADMINISTRATOR/OWNER)
(919) 827-2473
Entity
Organization
Contact information
Practice address
511 S BLOODWORTH ST, RALEIGH, NC 27601-1947
(919) 900-8514
(919) 900-8514
Mailing address
511 S BLOODWORTH ST, RALEIGH, NC 27601-1947
(919) 900-8514
(919) 900-8514
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-092-809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092809
—
NC
Enumeration date
03/09/2011
Last updated
12/07/2015
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