Provider Demographics
NPI:1184923203
Name:TRANSITIONAL LIVING SERVICES, INC
Entity type:Organization
Organization Name:TRANSITIONAL LIVING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-937-2020
Mailing Address - Street 1:2020 W WELLS ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-2720
Mailing Address - Country:US
Mailing Address - Phone:414-937-2020
Mailing Address - Fax:414-937-2021
Practice Address - Street 1:3710 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53402-3227
Practice Address - Country:US
Practice Address - Phone:262-639-8084
Practice Address - Fax:262-639-8086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONAL LIVING SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health