# HACKLEY HEALTH MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912949678
- **Authorized official:** MS. SUSAN M ROBERTS (DIRECTOR)
- **Authorized official phone:** (231) 728-5880

## Contact information

- **Practice address:** 3535 PARK ST, SUITE 104, MUSKEGON, MI 49444-3736
- **Practice address phone:** (231) 830-9684
- **Practice address fax:** (231) 830-9555
- **Mailing address:** 3535 PARK ST, SUITE 104, MUSKEGON, MI 49444-3736
- **Mailing address phone:** (231) 830-9684
- **Mailing address fax:** (231) 830-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 08/22/2020