Serenity Residential Home Care
NPI #1518312404 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1518312404
- Entity Type
- Organization
- Organization Name
- Serenity Residential Home Care
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 28, 2016
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 1129 N HARVARD AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73127-4021
- Phone
- (405) 946-3341
Authorized Official
- Name
- MR. TIMOTHY LEE SHOALS SR., BS
- Title
- OWNER
- Phone
- (405) 361-7643
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