NPI | 1205645637 |
---|---|
Doing Business As | TRANQUIL MANOR |
Entity Type | Organization |
Authorized Contact | KEWARIN PINSRI NEAL Owner 757-612-1052 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 311Z00000X Custodial Care Facility |
Enumeration Date | 2024-12-31 |
Last Update Date | 2024-12-31 |