NPI 1518312404

Serenity Residential Home Care

Organisation Adult Care Home Facility Oklahoma City, OK

Practice location

Address: 1129 N Harvard Ave, Oklahoma City, OK 73127-4021
Phone: (405) 946-3341
Fax: (405) 272-1630
Mailing address: 214 SW 30th St, Oklahoma City, OK 73109-6506

Authorised official

Name: Timothy Lee Shoals
Title: Owner
Phone: (405) 361-7643

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Oklahoma →

Registry record

NPI: 1518312404
Entity type: Organization
NPI issued: 28 Apr 2016
Record last updated: 28 Apr 2016

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.