Organization
TRANSITIONAL LIVING SERVICES, INC
Active
Parent organization
TRANSITIONAL LIVING SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONAL LIVING SERVICES, INC
Authorized official
PEG DUBORD (PRESIDENT AND CEO)
(414) 476-9675
Entity
Organization
Contact information
Practice address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Mailing address
1040 S 70TH ST, MILWAUKEE, WI 53214-3174
(414) 476-9675
(414) 615-0627
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10083-F
MILWAUKEE DEPT OF AGING
WI
Enumeration date
11/30/2007
Last updated
10/17/2012
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