Organization
SERENITY FCH #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA FENNELL (OWNER)
(910) 532-4864
Entity
Organization
Contact information
Practice address
100 WEST LISBON MAGNOLIA RD, ROSE HILL, NC 28458-1333
(910) 532-4864
(910) 532-2766
Mailing address
PO BOX 377, HARRELLS, NC 28444-0377
(910) 532-4864
(910) 532-2766
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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