# MILLICENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** millicent room and board
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629906177
- **Authorized official:** JANICE SANTIAGO DOMINGO (ADMINISTRATOR)
- **Authorized official phone:** (707) 246-8719

## Contact information

- **Practice address:** 2220 SANTA FE DR, FAIRFIELD, CA 94533-2243
- **Practice address phone:** (707) 246-8719
- **Mailing address:** 1605 HARRISBURG LN, SUISUN CITY, CA 94585-6335
- **Mailing address phone:** (707) 246-8719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2026
- **Last updated:** 05/13/2026