Cycle Of Life Support Community Health Services Llc
May also be knows as Cycle Of Life Support Chs
Legal Business Name
Cycle Of Life Support Community Health Services Llc
Also Known As
Cycle Of Life Support Chs
NPI Number
1023645884
NPI Type
Organization
Enumeration Date
03/23/2020
Specialties
(Taxonomies)Name
Code
251B00000X
251G00000X
251S00000X
374U00000X
251F00000X
253Z00000X
251J00000X
163W00000X
104100000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
717 PRINCE ST SE
1520 E GANSON ST
City
Grand Rapids
Jackson
State
MI
MI
Postal Code
49507-1241
49202-3530
Country
US
US
Telephone Number
(720) 441-3141
(616) 275-8930
Authorized Official
Name
Theresa Williams
Title or Position
OPERATIONS MANAGER
Telephone Number
(720) 441-3141
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
lifesupport@cycleoflifeservices.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
1520 E Ganson StJackson, MI492023530US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/24/2020