Provider Demographics
NPI:1851060768
Name:TRANQUILLIUM HALEH
Entity type:Organization
Organization Name:TRANQUILLIUM HALEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELSA
Authorized Official - Middle Name:F
Authorized Official - Last Name:CASAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-298-9076
Mailing Address - Street 1:3460 W HALEH AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8820
Mailing Address - Country:US
Mailing Address - Phone:702-330-0030
Mailing Address - Fax:810-885-0572
Practice Address - Street 1:3460 W HALEH AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-8820
Practice Address - Country:US
Practice Address - Phone:702-330-0030
Practice Address - Fax:810-885-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)