Organization
LIFE BEYOND THE HORIZON
Active
Other names
Cycle of Life Empowerment Achievement Programs
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LATRICE WILLIAMS (CEO)
(616) 325-0662
Entity
Organization
Contact information
Practice address
740 32ND ST SE, WYOMING, MI 49548-2329
(833) 616-4357
(833) 616-4357
Mailing address
740 32ND ST SE, WYOMING, MI 49548-2329
(616) 325-0662
(833) 968-7265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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