# CYCLE OF LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cycle Of Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598318560
- **Authorized official:** THERESA LATRICE WILLIAMS (COORDINATOR)
- **Authorized official phone:** (616) 608-3341

## Contact information

- **Practice address:** 740 32ND ST SE, WYOMING, MI 49548-2329
- **Practice address phone:** (616) 608-3341
- **Mailing address:** 740 32ND ST SE, WYOMING, MI 49548-2329
- **Mailing address phone:** (616) 608-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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