Organization
CYCLE OF LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LATRICE WILLIAMS (MEMBER)
(616) 835-2139
Entity
Organization
Contact information
Practice address
740 32ND ST SE, WYOMING, MI 49548-2329
(616) 608-3341
(616) 608-3693
Mailing address
740 32ND ST SE, WYOMING, MI 49548-2329
(616) 608-3341
(616) 608-3693
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225200000X
Physical Therapy Assistant
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/26/2017
Last updated
12/09/2019
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