Provider Demographics
NPI:1346606787
Name:YAPA DBA PROJECT TRANSITION
Entity Type:Organization
Organization Name:YAPA DBA PROJECT TRANSITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:III
Authorized Official - Credentials:JD
Authorized Official - Phone:215-997-9959
Mailing Address - Street 1:1 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2226
Mailing Address - Country:US
Mailing Address - Phone:215-997-9959
Mailing Address - Fax:215-997-1550
Practice Address - Street 1:3055 LEBANON PIKE
Practice Address - Street 2:SUITE 2102
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2230
Practice Address - Country:US
Practice Address - Phone:615-526-1916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000010492261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)