Organization
SERENITY RESIDENTIAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LEE SHOALS SR. BS (OWNER)
(405) 361-7643
Entity
Organization
Contact information
Practice address
1129 N HARVARD AVE, OKLAHOMA CITY, OK 73127-4021
(405) 946-3341
(405) 272-1630
Mailing address
214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
(405) 361-7643
(405) 272-1630
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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