Organization
SERENITY CARE WITH LOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA RENEE GROVES (CHIEF EXECUTIVE OFFICER)
(804) 301-5920
Entity
Organization
Contact information
Practice address
1205 B 8 CROSSCREEK CIRCLE, GREENVILLE, NC 27834
(804) 301-5920
Mailing address
PO BOX 30202, GREENVILLE, NC 27833-0202
(804) 301-5920
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-074-238
NC
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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