Organization
SERENITY SMILES HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA OWUSUAAH MSW (CEO)
(718) 612-1412
Entity
Organization
Contact information
Practice address
10105 PINESHADOW DR APT 206, CHARLOTTE, NC 28262-1149
(718) 612-1412
Mailing address
10105 PINESHADOW DR APT 206, CHARLOTTE, NC 28262-1149
(718) 612-1412
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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