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Organization

MILESTONES 2 LIFE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. THERESA LATRICE FARROW (OWNER)
(616) 723-3164
Entity
Organization

Contact information

Practice address
740 32ND ST SE STE 2, WYOMING, MI 49548-2329
(616) 475-3099
(616) 475-3354
Mailing address
740 32ND ST SE STE 2, WYOMING, MI 49548-2329
(616) 475-3099
(616) 475-3354

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MI

Other

Enumeration date
02/11/2014
Last updated
06/16/2014
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