Organization
TRANSITIONAL LIVING CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY MIZELL-EDDY (ADMINISTRATIVE DIRECTOR)
(201) 615-8384
Entity
Organization
Contact information
Practice address
209 RAMAPO RD APT E, GARNERVILLE, NY 10923-1851
(845) 304-6898
Mailing address
209 RAMAPO RD APT E, GARNERVILLE, NY 10923-1851
(845) 304-6898
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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