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Contact Information

TRANQUIL LIVING CENTER GROUP CORP
189 N HIGHWAY 89
STE C-10
NORTH SALT LAKE, UT84054-2432
 Phone: 801-300-5173
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for TRANQUIL LIVING CENTER GROUP CORP

NPI # 1881928794
LBN Legal business name TRANQUIL LIVING CENTER GROUP CORP
Authorized official ISAAC THOMASON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2009
Last updated 09/27/2009 - About 17 years ago
Identifiers
UT License # 161210-1205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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