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Organization
SERENITY CARE WITH LOVE, LLC
Active
Organization
SERENITY CARE WITH LOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA RENEE GROVES (CHIEF EXECUTIVE OFFICER)
(804) 301-5920
Entity
Organization
Contact information
Practice address
1205 B 8 CROSSCREEK CIRCLE, GREENVILLE, NC 27834
(804) 301-5920
Mailing address
PO BOX 30202, GREENVILLE, NC 27833-0202
(804) 301-5920
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-074-238
NC
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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