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Contact Information

TUCKERVILLE TRANSITIONS ORG
35230 E MICHIGAN AVE
WAYNE, MI48184-3698
 Phone: 313-303-7423
 Fax: 734-345-4104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health Worker

172V00000X
 

Respite Care, Mental Illness, Child

385HR2055X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for TUCKERVILLE TRANSITIONS ORG

NPI Number 1740853951
LBN Legal business name TUCKERVILLE TRANSITIONS ORG
Authorized official FARTIMA TUCKER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2021
Last updated 03/08/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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