Provider Demographics
NPI:1427579846
Name:WINN'S TRANQUILITY SERVICES
Entity Type:Organization
Organization Name:WINN'S TRANQUILITY SERVICES
Other - Org Name:TRANQUILITY SERVICES,
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERITA
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-319-7079
Mailing Address - Street 1:PO BOX 252193
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-2193
Mailing Address - Country:US
Mailing Address - Phone:313-319-7079
Mailing Address - Fax:248-313-9573
Practice Address - Street 1:7079 ALTA VISTA DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2772
Practice Address - Country:US
Practice Address - Phone:313-319-7079
Practice Address - Fax:313-319-7079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care