NPI 1104298389

Life Transitions INC.

Organisation Preferred Provider Organization Chesapeake, VA

Practice location

Address: 956 Lake Village Dr APT C, Chesapeake, VA 23323-4725
Phone: (757) 372-3534
Fax: (757) 673-1302

Authorised official

Name: Carmalita Yvonne Kovach-Watts
Title: Ceo
Phone: (757) 372-3534

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 309971 (VA)

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Registry record

NPI: 1104298389
Entity type: Organization
NPI issued: 27 Oct 2015
Record last updated: 27 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.