Organization
TRANQUILLITY AT FREDERICKTOWNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY H. TOBERY (HR/FINANCE MANAGER)
(301) 668-6030
Entity
Organization
Contact information
Practice address
6441 JEFFERSON PIKE, FREDERICK, MD 21703-7039
(301) 668-6030
(301) 668-6034
Mailing address
6441 JEFFERSON PIKE, FREDERICK, MD 21703-7039
(301) 668-6030
(301) 668-6034
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10AL022-G
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5390005300
—
MD
Enumeration date
02/07/2012
Last updated
02/07/2012
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