State of Serenity Home Care
NPI #1093305831 in Cary, North Carolina
Provider Information
- NPI Number
- 1093305831
- Entity Type
- Organization
- Organization Name
- State of Serenity Home Care
- Primary Specialty
- Registered Nurse - Home Health
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Jan 26, 2021
Practice Location
- Address
- 101 BRADY CT STE B
- City
- Cary
- State
- North Carolina
- ZIP Code
- 27511-4572
- Phone
- (919) 972-1964
Authorized Official
- Name
- ROMARIC WAGUIA KOUAM, RN
- Title
- ADMINISTRATOR
- Phone
- (919) 412-6821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Home Health — Home Health |
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