Serenity Manor
Residential Treatment Facility, Physical Disabilities in N Charleston, SC. Organization (NPI-2).
NPI number1336588243
StatusActive
Last updated in NPPESJun 24, 2013
Details
- NPI
- 1336588243
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Manor
- Organization subpart
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- Jun 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | 12184-C07 | SC | Yes |
Practice location
4018 S Rhett AveN Charleston, SC 29405-7163
Phone 843-554-0733
Mailing address
Po Box 21934Charleston, SC 29413-1934
Phone 843-554-0733
Authorized official
Hattie Fields
Administrator
8435540733
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