Organization Name: | TRANSITIONS LIFECARE LLC |
NPI Number: | 1710228663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA HAVEN BRAZEAL (DIRECTOR OF BUSINESS OPERATIONS) |
Mailing Address: | 1515 E 71st St Suite 100 Tulsa |
State: | OK US |
Postal Code: | 741365046 |
Phone Number: | 9185516879 |
Fax Number: | 9185516890 |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |