Organization
TRANSITIONS LIFECARE LLC
Active
Parent organization
TRANSITIONS LIFECARE LLC
Other names
Transitions LifeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONS LIFECARE LLC
Authorized official
MR. JOSHUA HAVEN BRAZEAL (CHIEF EXECUTIVE OFFICER)
(405) 206-4680
Entity
Organization
Contact information
Practice address
1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
(405) 206-4680
(918) 551-6890
Mailing address
1515 E 71ST ST, SUITE 100, TULSA, OK 74136-5046
(405) 206-4680
(918) 551-6890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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