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General NPI Number Information
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NPI Number | 1164317970
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Entity Type | Organization
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Legal Business Name | A TRANQUILITY HOME PARTNERSHIP
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 6337 HAWTHORN WOODS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89130-1389
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Country | US
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Telephone | 725-502-9998
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Fax | 702-272-0744
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Provider Business Mailing Address
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Address Line | 7260 W AZURE DR STE 140-14
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City | LAS VEGAS
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State | NV
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Zip | 89130-7999
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Country | US
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Telephone | 725-502-9998
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RASHAY FRANK KEVIN CROSSWHITE
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Credential | RN
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Telephone | 725-502-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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