Provider Demographics
NPI:1184123424
Name:A TRUSTING TRANSITION
Entity type:Organization
Organization Name:A TRUSTING TRANSITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAULDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-229-3165
Mailing Address - Street 1:46335 FAMILY ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SAINT AMANT
Mailing Address - State:LA
Mailing Address - Zip Code:70774-3850
Mailing Address - Country:US
Mailing Address - Phone:225-229-3165
Mailing Address - Fax:
Practice Address - Street 1:46335 FAMILY ACRES RD
Practice Address - Street 2:
Practice Address - City:SAINT AMANT
Practice Address - State:LA
Practice Address - Zip Code:70774-3850
Practice Address - Country:US
Practice Address - Phone:225-229-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care