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Contact Information

TRANQUILITY MANOR ESTATES
1950 HEMMER ROAD
PALMER, AK99645
 Phone: 907-745-2012
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for TRANQUILITY MANOR ESTATES

NPI # 1164788071
LBN Legal business name TRANQUILITY MANOR ESTATES
Authorized official BRUCE KORMAN - (OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/04/2012
Last updated 04/04/2012 - About 14 years ago
Identifiers
AK License # 100719
AK License # 100954
AK License # 267
AK Medicaid RL4070
AK Medicaid RL4310
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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