Organization
LIFE TRANSITIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMALITA YVONNE KOVACH-WATTS (CEO)
(757) 372-3534
Entity
Organization
Contact information
Practice address
956 LAKE VILLAGE DR APT C, CHESAPEAKE, VA 23323-4725
(757) 372-3534
(757) 673-1302
Mailing address
956 LAKE VILLAGE DR APT C, CHESAPEAKE, VA 23323-4725
(757) 372-3534
(757) 673-1302
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
309971
VA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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