Organization
TRANQUILITY MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JEROME BATTLE SR. BS/QMRP (PROGRAM MANAGER)
(757) 412-8862
Entity
Organization
Contact information
Practice address
902 HORNE AVE, PORTSMOUTH, VA 23701-3910
(757) 558-0339
(757) 558-0377
Mailing address
902 HORNE AVE, PORTSMOUTH, VA 23701-3910
(757) 558-0339
(757) 558-0377
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
38601001
VA
Other
Enumeration date
09/12/2006
Last updated
06/23/2008
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