Provider Demographics
NPI:1902127111
Name:LIFE TRANSITIONS LLC
Entity Type:Organization
Organization Name:LIFE TRANSITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:620-259-7960
Mailing Address - Street 1:825 1/2 E SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-3059
Mailing Address - Country:US
Mailing Address - Phone:620-259-7960
Mailing Address - Fax:620-259-7960
Practice Address - Street 1:825 1/2 E SHERMAN ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-3059
Practice Address - Country:US
Practice Address - Phone:620-259-7960
Practice Address - Fax:620-259-7960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3623253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care