Organization
SERENITY OF WILSON HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN JANEEN BARNES (OWNER/DIRECTOR)
(252) 281-1048
Entity
Organization
Contact information
Practice address
4004 ECLIPSE WAY, WILSON, NC 27896-7801
(252) 674-7294
(252) 281-1048
Mailing address
2704 BARRINGTON DR N, WILSON, NC 27896-8852
(252) 282-1048
(252) 281-1048
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-098-179
NC
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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