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Organization
JOURNEY 4 LIFE LLC
Active
Organization
JOURNEY 4 LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA LATRICE FARROW (DIRECTOR)
(616) 723-3164
Entity
Organization
Contact information
Practice address
1119 BURTON ST SE, SUITE 600, GRAND RAPIDS, MI 49507-3367
(616) 723-3164
Mailing address
1119 BURTON ST SE, SUITE 600, GRAND RAPIDS, MI 49507-3367
(616) 723-3164
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
04/03/2011
Last updated
04/03/2011
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