Organization
TRANQUILITY HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIBASID K YASIN (CO-OWNER/ADMINISTRATOR)
(763) 339-7088
Entity
Organization
Contact information
Practice address
650 MAIN ST STE 209B, SOUTH PORTLAND, ME 04106-5448
(763) 339-7088
Mailing address
650 MAIN ST STE 209B, SOUTH PORTLAND, ME 04106-5448
(763) 339-7088
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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