Organization
HACKLEY COMMUNITY CARE CENTER, INC
Active
Other names
Charles Hackley Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BLONDIN (CFO)
(231) 733-6657
Entity
Organization
Contact information
Practice address
180 E LAKETON AVE STE A, MUSKEGON, MI 49441
(231) 737-1335
Mailing address
2700 BAKER ST, MUSKEGON, MI 49444-2157
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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