Provider Demographics
NPI:1316529639
Name:TRANQUIL, INC.
Entity type:Organization
Organization Name:TRANQUIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLUOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-290-0070
Mailing Address - Street 1:PO BOX 2754
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30156-9113
Mailing Address - Country:US
Mailing Address - Phone:678-290-0070
Mailing Address - Fax:678-290-0235
Practice Address - Street 1:4177 HAVENWOOD CT NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7343
Practice Address - Country:US
Practice Address - Phone:678-290-0070
Practice Address - Fax:678-290-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care