Provider Demographics
NPI:1023744083
Name:TRANQUILITY HOUSE LLC
Entity type:Organization
Organization Name:TRANQUILITY HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-610-5942
Mailing Address - Street 1:2039 CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-4005
Mailing Address - Country:US
Mailing Address - Phone:810-610-5942
Mailing Address - Fax:810-652-8050
Practice Address - Street 1:2039 CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4005
Practice Address - Country:US
Practice Address - Phone:810-610-5942
Practice Address - Fax:810-652-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home