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Organization
CYCLE OF LIFE LLC
Active
Organization
CYCLE OF LIFE LLC
Active
Other names
Cycle Of Life
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LATRICE WILLIAMS (COORDINATOR)
(616) 608-3341
Entity
Organization
Contact information
Practice address
740 32ND ST SE, WYOMING, MI 49548-2329
(616) 608-3341
Mailing address
740 32ND ST SE, WYOMING, MI 49548-2329
(616) 608-3341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
NULL
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
07/18/2019
Last updated
12/09/2019
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