Provider Demographics
NPI:1851794713
Name:READY FOR LIFE
Entity Type:Organization
Organization Name:READY FOR LIFE
Other - Org Name:READY FOR LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-248-3775
Mailing Address - Street 1:3250 28TH ST SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49512-1644
Mailing Address - Country:US
Mailing Address - Phone:616-248-3775
Mailing Address - Fax:616-419-4152
Practice Address - Street 1:3250 28TH ST SE
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49512-1644
Practice Address - Country:US
Practice Address - Phone:616-248-3775
Practice Address - Fax:616-419-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 251S00000X, 373H00000X
MI70704U251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty