Organization Name: | TRANQUILITY HOSPICE LLC |
NPI Number: | 1164584280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FARSHID ADAM-AMIR ZANDI (ADMINISTRATOR) |
Mailing Address: | 1815 E 15th St Tulsa |
State: | OK US |
Postal Code: | 741044610 |
Phone Number: | 9188096205 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 4249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |