Organization
LAKE WYLIE SERENITY HOMES LLC
Active
Parent organization
LAKE WYLIE SERENITY HOMES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE WYLIE SERENITY HOMES LLC
Authorized official
FAUZIA TASLEIMA JONES (OWNER)
(571) 263-3800
Entity
Organization
Contact information
Practice address
301 WILSON ST N, ROCK HILL, SC 29730-4047
(571) 263-3800
Mailing address
5349 CHARLOTTE HWY, CLOVER, SC 29710-8559
(571) 263-3800
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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