Provider Demographics
NPI:1639559248
Name:TRANQUILITY HOSPICE OF MICHIGAN LLC
Entity Type:Organization
Organization Name:TRANQUILITY HOSPICE OF MICHIGAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAZHAR
Authorized Official - Middle Name:ABBAS
Authorized Official - Last Name:JAFFRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-416-8132
Mailing Address - Street 1:28270 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1659
Mailing Address - Country:US
Mailing Address - Phone:248-416-8132
Mailing Address - Fax:
Practice Address - Street 1:28270 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1659
Practice Address - Country:US
Practice Address - Phone:248-416-8132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based