Organization
LIFE TRANSITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY A TAGLIONE (OFFICE MANAGER)
(734) 414-0707
Entity
Organization
Contact information
Practice address
21031 SUNNYDALE ST, SAINT CLAIR SHORES, MI 48081-3143
(586) 663-8906
Mailing address
21031 SUNNYDALE ST, SAINT CLAIR SHORES, MI 48081-3143
(586) 663-8906
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4704199416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0872184
BLUE CROSS
—
Enumeration date
03/26/2015
Last updated
03/26/2015
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