Provider Demographics
NPI:1366021289
Name:LIFE TRANSITION SERVICES, LLC
Entity Type:Organization
Organization Name:LIFE TRANSITION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAERDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-787-6656
Mailing Address - Street 1:PO BOX 393
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVERHILL
Mailing Address - State:NH
Mailing Address - Zip Code:03774-0393
Mailing Address - Country:US
Mailing Address - Phone:603-787-6656
Mailing Address - Fax:603-853-8000
Practice Address - Street 1:60 PINE MILL ROAD
Practice Address - Street 2:
Practice Address - City:NORTH HAVERHILL
Practice Address - State:NH
Practice Address - Zip Code:03774
Practice Address - Country:US
Practice Address - Phone:603-787-6656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services