National Provider Identifier Database

PEACE AND TRANQUILITY RESOURCE CENTER
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

PEACE AND TRANQUILITY RESOURCE CENTER
9788 GILESPIE ST STE 424
LAS VEGAS, NV89183
Phone: 792-902-2362
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for PEACE AND TRANQUILITY RESOURCE CENTER

NPI Number 1194199687
Legal business name
LBN
PEACE AND TRANQUILITY RESOURCE CENTER
Authorized official RAFAEL SCROGGINS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/20/2015
Last updated 11/20/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: NV20151125507
  • NV Medicaid: 1154700987

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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