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Organization
MILLICENT LLC
Active
Organization
MILLICENT LLC
Active
Other names
millicent room and board
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SANTIAGO DOMINGO (ADMINISTRATOR)
(707) 246-8719
Entity
Organization
Contact information
Practice address
2220 SANTA FE DR, FAIRFIELD, CA 94533-2243
(707) 246-8719
Mailing address
1605 HARRISBURG LN, SUISUN CITY, CA 94585-6335
(707) 246-8719
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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