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Millicent LLC — NPI 1629906177, Fairfield, CA | NPI Central

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NPI 1629906177

OrganizationActive

Millicent LLC

NPI 1629906177 · Lodging Provider · Fairfield, CA

Provider details

NPI number: 1629906177
Entity type: Organization
Primary specialty: Lodging ProviderOther Service Providers
Organization subpart: No
Authorized official: Janice Domingo, Administrator(707) 246-8719

Specialties & taxonomies

Lodging ProviderPrimary177F00000X
Other Service Providers

Practice location

2220 Santa Fe Dr

Fairfield, CA 94533-2243

Phone: (707) 246-8719

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

1605 Harrisburg Ln

Suisun City, CA 94585-6335

Other names (DBA / former)

Doing business as: Millicent Room and Board

Registry dates

Enumerated: 2026-05-13
Last updated: 2026-05-13
Certified: 2026-05-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.