Organization
TRANSITIONAL ONE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY WALLS (EXECUTIVE DIRECTOR)
(314) 591-4455
Entity
Organization
Contact information
Practice address
231 S BEMISTON AVE STE 826, CLAYTON, MO 63105-1988
(314) 854-1316
(314) 854-1317
Mailing address
231 S BEMISTON AVE STE 826, CLAYTON, MO 63105-1988
(148) 541-3163
(314) 854-1317
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/22/2023
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