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NPI Code Detail

MEDICARE: TRANQUILITY INCORPORATED

MEDICARE: TRANQUILITY INCORPORATED
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
1332BN1400XNursing Facility Supplies (DME)140000186CA
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)140000186CA
3314000000XSkilled Nursing Facility140000186CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396813465
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANQUILITY INCORPORATED
Provider Business Mailing Address
First Line : 1050 SAN MIGUEL RD
Second Line :
City : CONCORD
State : CA
Zip : 94518-2094
Country : US
Telephone Number : 925-825-4280
Fax Number : 925-676-1649
Provider Business Practice Location Address
First Line : 1050 SAN MIGUEL RD
Second Line :
City : CONCORD
State : CA
Zip : 94518-2094
Country : US
Telephone Number : 925-825-4280
Fax Number : 925-676-1649
Authorized Official
Title or Position : EXECUTIVE ADMINISTRATOR
Name : MRS. VELDA PIERCE
Credential :
Telephone Number : 925-825-4280
Provider Enumeration Date : 11/30/2006
Last Update Date : 03/24/2014

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Directions to “TRANQUILITY INCORPORATED ” Practice Location

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