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
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/18/2019
Last updated
12/09/2019
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