Organization
TRANQUILLITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOWANNA RENAE HARDY (RN-ADMINISTRATOR)
(478) 718-8855
Entity
Organization
Contact information
Practice address
154 MCGEE ST, MACON, GA 31204-2308
(478) 474-0014
(478) 477-0538
Mailing address
154 MCGEE ST, MACON, GA 31204-2308
(478) 474-0014
(478) 477-0538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011-R-0325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872012590B
—
GA
Enumeration date
08/19/2015
Last updated
08/19/2015
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