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Organization

TRANQUILITY PCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SHERYL WRIGHT (CEO)
(404) 593-6386
Entity
Organization

Contact information

Practice address
3440 RAINBOW DR, DECATUR, GA 30034-1807
(404) 593-6386
Mailing address
3440 RAINBOW DR, DECATUR, GA 30034-1807
(404) 593-6386

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
044-01-737-2
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291733345A
GA
Enumeration date
07/26/2011
Last updated
07/26/2011
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