Provider Demographics
NPI:1225756489
Name:K & S TRANSITIONAL LIVING LLC
Entity Type:Organization
Organization Name:K & S TRANSITIONAL LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARAYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:734-796-6271
Mailing Address - Street 1:1813 S 83RD DR
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-8972
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6610 S 23RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-5302
Practice Address - Country:US
Practice Address - Phone:602-314-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health