NPI 1013044247

Serenity Incorporated

Organisation Adult Care Home Facility Raleigh, NC

Practice location

Address: 5005 Hollyridge Dr, Raleigh, NC 27612-3109
Phone: (919) 771-9173
Fax: (919) 367-0816
Mailing address: PO Box 1583, Cary, NC 27512-1583

Authorised official

Name: Clarice Shyllon Faulkner
Title: President
Phone: (919) 771-9173

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence MHL-092-443 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1013044247
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.