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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1750798245
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	:	DR. PHILIP PHILBIN
Credential	:	DDS
Telephone Number	:	443-822-0564

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	12/30/2025

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Directions to “TRANQUILITY WOODS, LLC ” Practice Location

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