Organization
REAL LIFE LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOODSIDE (EXECUTIVE DIRECTOR)
(734) 476-9834
Entity
Organization
Contact information
Practice address
2922 FULLER AVE NE STE 213, GRAND RAPIDS, MI 49505-3459
(231) 887-4080
(231) 887-4422
Mailing address
PO BOX 3915, ANN ARBOR, MI 48106-3915
(734) 476-9834
(231) 887-4422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/01/2007
Last updated
09/11/2024
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