# TRANQUILITY HOME SUPPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881419679
- **Authorized official:** ABDIBASID K YASIN (CO-OWNER/ADMINISTRATOR)
- **Authorized official phone:** (763) 339-7088

## Contact information

- **Practice address:** 650 MAIN ST STE 209B, SOUTH PORTLAND, ME 04106-5448
- **Practice address phone:** (763) 339-7088
- **Mailing address:** 650 MAIN ST STE 209B, SOUTH PORTLAND, ME 04106-5448
- **Mailing address phone:** (763) 339-7088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024