Organization
TRANQUILITY INCORPORATED
Active
Other names
San Miguel Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VELDA PIERCE (EXECUTIVE ADMINISTRATOR)
(925) 825-4280
Entity
Organization
Contact information
Practice address
1050 SAN MIGUEL RD, CONCORD, CA 94518-2094
(925) 825-4280
(925) 676-1649
Mailing address
1050 SAN MIGUEL RD, CONCORD, CA 94518-2094
(925) 825-4280
(925) 676-1649
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140000186
CA
332BN1400X
Nursing Facility Supplies (DME)
140000186
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
140000186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR55104H
—
CA
Enumeration date
11/30/2006
Last updated
03/24/2014
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