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General NPI Number Information
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NPI Number | 1396662862
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Entity Type | Organization
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Legal Business Name | TRANSITION ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 128 MICHIGAN AVE
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City | GLADSTONE
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State | MI
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Zip | 49837-1929
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Country | US
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Telephone | 906-420-8900
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Fax | 906-420-8901
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Provider Business Mailing Address
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Address Line | 128 MICHIGAN AVE
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City | GLADSTONE
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State | MI
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Zip | 49837-1929
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Country | US
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Telephone | 906-420-8900
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Fax | 906-420-8901
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Authorized Official
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Title or Position | PRESIDENT & ADMINISTRATOR
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Name | CRYSTAL HAYES-JACKSON
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Credential |
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Telephone | 310-990-8509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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