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NPI Code Detail

MEDICARE: TRANSITIONAL COMMUNITY SUPPORT SERVICES, LLC

MEDICARE: TRANSITIONAL COMMUNITY SUPPORT SERVICES, LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1780327734
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSITIONAL COMMUNITY SUPPORT SERVICES, LLC
Provider Business Mailing Address
First Line : 8837 EMERALD DUNES CIR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-2439
Country : US
Telephone Number : 804-510-4922
Fax Number :
Provider Business Practice Location Address
First Line : 8837 EMERALD DUNES CIR
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-2439
Country : US
Telephone Number : 804-510-4922
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : JACQUELYN SMITH
Credential :
Telephone Number : 910-320-3213
Provider Enumeration Date : 04/18/2022
Last Update Date : 04/18/2022

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Directions to “TRANSITIONAL COMMUNITY SUPPORT SERVICES, LLC ” Practice Location

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