# JOURNEY 4 LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548559230
- **Authorized official:** MS. THERESA LATRICE FARROW (DIRECTOR)
- **Authorized official phone:** (616) 723-3164

## Contact information

- **Practice address:** 1119 BURTON ST SE, SUITE 600, GRAND RAPIDS, MI 49507-3367
- **Practice address phone:** (616) 723-3164
- **Mailing address:** 1119 BURTON ST SE, SUITE 600, GRAND RAPIDS, MI 49507-3367
- **Mailing address phone:** (616) 723-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2011
- **Last updated:** 04/03/2011