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NPI Code Detail

MEDICARE: TRANQUILITY WOODS, LLC

MEDICARE: TRANQUILITY WOODS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

General Provider Information

NPI Number : 1841144573
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANQUILITY WOODS, LLC
Provider Business Mailing Address
First Line : 171A RYAN RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-4541
Country : US
Telephone Number : 443-822-0564
Fax Number : 410-255-0450
Provider Business Practice Location Address
First Line : 171A RYAN RD
Second Line :
City : PASADENA
State : MD
Zip : 21122-4541
Country : US
Telephone Number : 443-822-0564
Fax Number : 410-255-0450
Authorized Official
Title or Position : CEO
Name : PHILIP AUGUST PHILBIN
Credential :
Telephone Number : 443-822-0564
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “TRANQUILITY WOODS, LLC ” Practice Location

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