Organization
TRANSFORMATIONAL LIVING HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW N STOCKARD SR. (PROJECT DIRECTOR)
(562) 244-4225
Entity
Organization
Contact information
Practice address
1401 E 4TH ST, LONG BEACH, CA 90802-1800
(562) 673-9214
Mailing address
PO BOX 40045, LONG BEACH, CA 90804-6045
(562) 244-4225
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/08/2025
Last updated
03/04/2025
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