Provider Demographics
NPI:1730321076
Name:LIFE TRANSITION, INC.
Entity Type:Organization
Organization Name:LIFE TRANSITION, INC.
Other - Org Name:LIFE TRANSITION HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-850-1890
Mailing Address - Street 1:435 HAWTHORNE AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2574
Mailing Address - Country:US
Mailing Address - Phone:706-850-1890
Mailing Address - Fax:706-850-1882
Practice Address - Street 1:435 HAWTHORNE AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2574
Practice Address - Country:US
Practice Address - Phone:706-850-1890
Practice Address - Fax:706-850-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029R0531253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care