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General NPI Number Information
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NPI Number | 1235938143
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Entity Type | Organization
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Legal Business Name | SERENITY HOME CARE LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 18 SHARON STREET
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City | ROSEBORO
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State | NC
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Zip | 28382
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Country | US
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Telephone | 910-627-4292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 344
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City | ROSEBORO
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State | NC
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Zip | 28382-0344
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Country | US
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Telephone | 910-627-4292
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AUDREY LUCRETIA JOYNER
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Credential |
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Telephone | 910-627-4292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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