Organization
TRANQUILITY MANOR ESTATES
Active
Parent organization
TRANQUILITY MANOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANQUILITY MANOR LLC
Authorized official
BRUCE KORMAN (OFFICER)
(907) 746-4220
Entity
Organization
Contact information
Practice address
1950 HEMMER ROAD, PALMER, AK 99645
(907) 745-2012
Mailing address
1205 N TRANQUILITY LN, PALMER, AK 99645-8624
(907) 746-4220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100719
AK
310400000X
Assisted Living Facility
100954
AK
310400000X
Assisted Living Facility
Primary
267
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL4070
—
AK
05
—
RL4310
—
AK
Enumeration date
04/04/2012
Last updated
04/04/2012
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