Organization
STATE OF SERENITY HOME CARE
Active
Other names
SOS Home care
Organization subpart
No
Provider details
NPI number
Authorized official
ROMARIC WAGUIA KOUAM RN (ADMINISTRATOR)
(919) 412-6821
Entity
Organization
Contact information
Practice address
101 BRADY CT STE B, CARY, NC 27511-4572
(919) 972-1964
Mailing address
101 BRADY CT STE B, CARY, NC 27511-4572
(919) 972-1964
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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