MEDICARE: YAPA DBA PROJECT TRANSITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	LSW0000010492	TN

General Provider Information

NPI Number	:	1346606787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAPA DBA PROJECT TRANSITION

Provider Business Mailing Address
First Line	:	1 HIGHLAND DR
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-2226
Country	:	US
Telephone Number	:	215-997-9959
Fax Number	:	215-997-1550

Provider Business Practice Location Address
First Line	:	3055 LEBANON PIKE
Second Line	:	SUITE 2102
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2230
Country	:	US
Telephone Number	:	615-526-1916
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LOREN CRABTREE III
Credential	:	JD
Telephone Number	:	215-997-9959

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	01/14/2016

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