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
Other Service Providers
Practice location
2220 Santa Fe Dr
Fairfield, CA 94533-2243
Phone: (707) 246-8719
Approximate (ZIP-level) locationGet directions
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.