Healthcare Provider Details

I. General information

NPI: 1891944120
Provider Name (Legal Business Name): TRANSITIONS PLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9316 MCCAMUS RD
BROOKSTON MN
55711-8050
US

IV. Provider business mailing address

PO BOX 1066
PROCTOR MN
55810-0066
US

V. Phone/Fax

Practice location:
  • Phone: 218-390-7193
  • Fax: 218-628-1734
Mailing address:
  • Phone: 218-390-7193
  • Fax: 218-628-1734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY D OVERLIE
Title or Position: PRESIDENT
Credential: MSED
Phone: 218-390-7193