Organization
TRANSCENDENT LIFESTYLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH LOUISE ANDERSON (CEO)
(757) 432-2137
Entity
Organization
Contact information
Practice address
900 COMMONWEALTH PL STE 217, VIRGINIA BCH, VA 23464-4529
(757) 432-2137
(757) 500-8852
Mailing address
324 GARCIA DR, VIRGINIA BEACH, VA 23454-4805
(973) 900-2135
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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